GLEN HAROLD JOHN STEVENS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108051

License Status

NOT RENEWED

Business

First Name

GLEN HAROLD

Middle

JOHN

Last Name

STEVENS

Business Name

GLEN HAROLD JOHN STEVENS

Original Issue Date

10/22/2002

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

CLEVELAND

State

Zip

44195

County

OHIO

Ever Disciplined

LastModifiedDate

01/14/2021