BRIAN S GLYNN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

BRIAN S

Last Name

GLYNN

Suffix

Business Name

BRIAN S GLYNN MD

Original Issue Date

02/10/1992

Effective Date

02/10/1992

Expiration Date

07/31/1996

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006