MICHAEL DOUGLAS GLANT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

DOUGLAS

Last Name

GLANT

Suffix

Business Name

MICHAEL DOUGLAS GLANT MD

Original Issue Date

06/22/1999

Effective Date

06/22/1999

Expiration Date

07/31/2005

City

BELLEVILLE

State

Zip

62222

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011