CHRISTOPHER R GLOCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER R

Last Name

GLOCK

Suffix

Business Name

CHRISTOPHER R GLOCK MD

Original Issue Date

08/20/1997

Effective Date

08/20/1997

Expiration Date

07/31/2008

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008