CHRISTOPHER R GLOCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096337

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER R

Last Name

GLOCK

Suffix

Business Name

CHRISTOPHER R GLOCK MD

Original Issue Date

08/07/1997

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

TERRE HAUTE

State

Zip

47802

Ever Disciplined

LastModifiedDate

11/06/2008