SCOTT MARTIN GLEASON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

Title

First Name

SCOTT

Middle

MARTIN

Last Name

GLEASON

Business Name

SCOTT MARTIN GLEASON DO

Original Issue Date

01/11/2018

Effective Date

01/11/2018

Expiration Date

09/30/2020

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021