GLENN LOPATE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097800

License Status

NOT RENEWED

Business

First Name

GLENN

Last Name

LOPATE

Suffix

Business Name

GLENN LOPATE MD

Original Issue Date

05/07/1998

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ST LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

11/06/2008