GLEN N FEATHER DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

INACTIVE

Business

First Name

GLEN N

Last Name

FEATHER

Suffix

Business Name

GLEN N FEATHER DO

Original Issue Date

06/08/1990

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023