EDWARD A GLENN III MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059529

License Status

INACTIVE

Business

First Name

EDWARD A

Last Name

GLENN III

Suffix

Business Name

EDWARD A GLENN III MD

Original Issue Date

10/11/1979

Effective Date

10/11/1979

Expiration Date

07/31/1987

City

LOUISIANA

State

Zip

63353

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006