GLEN ANDREW GUTTERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155259

License Status

ACTIVE

Business

Title

First Name

GLEN

Middle

ANDREW

Last Name

GUTTERSON

Business Name

GLEN ANDREW GUTTERSON MD

Original Issue Date

01/11/2021

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

MAPLEWOOD

State

Zip

07040

Ever Disciplined

LastModifiedDate

09/12/2024