MICHAEL DOUGLAS GLANT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099561

License Status

INACTIVE

Business

First Name

MICHAEL

Middle

DOUGLAS

Last Name

GLANT

Suffix

Business Name

MICHAEL DOUGLAS GLANT MD

Original Issue Date

01/29/1999

Effective Date

05/19/2011

Expiration Date

07/31/2014

City

ZIONSVILLE

State

Zip

46077

County

INDIANA

Ever Disciplined

LastModifiedDate

04/08/2014