BRANDY NICOLE GLASCOCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

Title

First Name

BRANDY

Middle

NICOLE

Last Name

GLASCOCK

Business Name

BRANDY NICOLE GLASCOCK MD

Original Issue Date

04/19/2013

Effective Date

06/06/2017

Expiration Date

09/30/2020

City

MONTICELLO

State

Zip

61856

County

PIATT

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021