JORGE N GLASS Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086501

License Status

INACTIVE

Business

First Name

JORGE N

Last Name

GLASS

Business Name

JORGE N GLASS

Original Issue Date

06/18/1993

Effective Date

06/18/1993

Expiration Date

07/31/1996

City

JACKSON

State

Zip

38305

County

MADISON

Ever Disciplined

LastModifiedDate

07/22/2011