JOSHUA MARTIN GLAZER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

Title

First Name

JOSHUA

Middle

MARTIN

Last Name

GLAZER

Business Name

JOSHUA MARTIN GLAZER MD

Original Issue Date

09/26/2019

Effective Date

09/26/2019

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021