MARIA GLOWACKI DRAKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

MARIA

Middle

GLOWACKI

Last Name

DRAKE

Suffix

Business Name

MARIA GLOWACKI DRAKE MD

Original Issue Date

07/15/1998

Effective Date

06/07/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020