RYAN JEFFREY GLUTH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

Title

First Name

RYAN

Middle

JEFFREY

Last Name

GLUTH

Business Name

RYAN JEFFREY GLUTH DO

Original Issue Date

08/08/2019

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

OTTAWA

State

Zip

61350

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023