GLEN STEVEN BABICH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

First Name

GLEN

Middle

STEVEN

Last Name

BABICH

Suffix

Business Name

GLEN STEVEN BABICH MD

Original Issue Date

09/13/2021

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

SUMNER

State

Zip

62466

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023