GLEN ANTON WEISGERBER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

First Name

GLEN ANTON

Last Name

WEISGERBER

Suffix

Business Name

GLEN ANTON WEISGERBER MD

Original Issue Date

01/01/1997

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

AUBURN

State

Zip

62615

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023