LISA M GLOSSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

GLOSSON

Suffix

Business Name

LISA M GLOSSON MD

Original Issue Date

12/11/1997

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023