GLEN KEITH GEREMIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

First Name

GLEN KEITH

Last Name

GEREMIA

Suffix

Business Name

GLEN KEITH GEREMIA MD

Original Issue Date

10/04/2005

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023