SCOTT MARTIN GLEASON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144931

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

BLOOMINGTON

State

Zip

55431

Ever Disciplined

LastModifiedDate

01/14/2021