BYRON C GLENN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

BYRON

Middle

Last Name

GLENN

Suffix

Business Name

BYRON C GLENN MD

Original Issue Date

06/28/1989

Effective Date

06/28/1989

Expiration Date

07/31/1996

City

CARBONDALE

State

Zip

62901

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006