JORGE N GLASS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

JORGE N

Last Name

GLASS

Business Name

JORGE N GLASS

Original Issue Date

09/16/1993

Effective Date

09/16/1993

Expiration Date

07/31/1996

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006