RONALD B J GLASS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

CANCELLED

Business

First Name

RONALD

Middle

B J

Last Name

GLASS

Suffix

Business Name

RONALD B J GLASS MD

Original Issue Date

10/24/2006

Effective Date

08/19/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

04/07/2011