GLENN R RICHARD DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143029

License Status

NOT RENEWED

Business

First Name

GLENN

Middle

Last Name

RICHARD

Suffix

Business Name

GLENN R RICHARD DO

Original Issue Date

04/18/2017

Effective Date

04/18/2017

Expiration Date

09/30/2020

City

FISHKILL

State

Zip

12524

County

NEW YORK

Ever Disciplined

LastModifiedDate

01/14/2021