MAX J GLASER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

MAX J

Last Name

GLASER

Business Name

MAX J GLASER

Original Issue Date

07/25/1995

Effective Date

07/25/1995

Expiration Date

07/31/1996

City

EAST ALTON

State

Zip

62024

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006