GLEN ALAN FENTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141326

License Status

NOT RENEWED

Business

Title

First Name

GLEN

Middle

ALAN

Last Name

FENTON

Business Name

GLEN ALAN FENTON MD

Original Issue Date

07/25/2016

Effective Date

05/30/2018

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63104

Ever Disciplined

LastModifiedDate

01/14/2021