GLEN KEITH GEREMIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

GLEN KEITH

Last Name

GEREMIA

Suffix

Business Name

GLEN KEITH GEREMIA MD

Original Issue Date

07/06/1981

Effective Date

07/06/1981

Expiration Date

07/31/2008

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020