GLEN E DUST MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

First Name

GLEN E

Last Name

DUST

Suffix

Business Name

GLEN E DUST MD

Original Issue Date

08/08/1984

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

MONTICELLO

State

Zip

61856

County

PIATT

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/16/2023