GLENN ROSS HODGES MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045700

License Status

INACTIVE

Business

First Name

GLENN ROSS

Last Name

HODGES

Suffix

Business Name

GLENN ROSS HODGES MD

Original Issue Date

06/16/1972

Effective Date

06/16/1972

Expiration Date

07/31/1987

City

LEAVENWORTH

State

Zip

66048

County

KANSAS

Ever Disciplined

LastModifiedDate

09/20/2006