BENERANDA S FORD-GLANTON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119047

License Status

ACTIVE

Business

Title

First Name

BENERANDA

Middle

Last Name

FORD-GLANTON

Business Name

BENERANDA S FORD-GLANTON MD

Original Issue Date

07/24/2007

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63141

Ever Disciplined

LastModifiedDate

07/18/2023