GLENN MICHAEL DEANGELIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

Title

First Name

GLENN

Middle

MICHAEL

Last Name

DEANGELIS

Business Name

GLENN MICHAEL DEANGELIS MD

Original Issue Date

05/02/2020

Effective Date

05/02/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60614

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023