MICHAEL J GLAVIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

First Name

MICHAEL J

Last Name

GLAVIN

Suffix

Business Name

MICHAEL J GLAVIN MD

Original Issue Date

01/25/1984

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

LAGRANGE PARK

State

Zip

60526

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/25/2023