GLENN ISLAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074709

License Status

NOT RENEWED

Business

First Name

GLENN

Last Name

ISLAT

Suffix

Business Name

GLENN ISLAT MD

Original Issue Date

03/28/1987

Effective Date

03/28/1987

Expiration Date

07/31/2005

City

POWELL

State

Zip

43065

County

OHIO

Ever Disciplined

LastModifiedDate

06/30/2021