SARA LEE GLASSGOW DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

First Name

SARA

Middle

LEE

Last Name

GLASSGOW

Suffix

Business Name

SARA LEE GLASSGOW DO

Original Issue Date

08/27/2010

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

KEWANEE

State

Zip

61443

County

HENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/25/2023