GLEN ALLEN HIDDEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163344

License Status

ACTIVE

Business

Title

First Name

GLEN

Middle

ALLEN

Last Name

HIDDEN

Business Name

GLEN ALLEN HIDDEN MD

Original Issue Date

01/09/2023

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

WEAVERVILLE

State

Zip

28787

Ever Disciplined

LastModifiedDate

07/27/2023