GLYNN J ELLIOTT III Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

First Name

GLYNN J

Last Name

ELLIOTT III

Business Name

GLYNN J ELLIOTT III

Original Issue Date

08/06/1996

Effective Date

06/25/2023

Expiration Date

07/31/2026

City

WILMETTE

State

Zip

60091

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/01/2025