AMBER LANNETTA GLENN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

Title

First Name

AMBER

Middle

LANNETTA

Last Name

GLENN

Business Name

AMBER LANNETTA GLENN MD

Original Issue Date

02/06/2024

Effective Date

02/06/2024

Expiration Date

07/31/2026

City

HARVEY

State

Zip

60426

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/06/2024