MARK S GLAZER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087893

License Status

INACTIVE

Business

First Name

MARK S

Last Name

GLAZER

Suffix

Business Name

MARK S GLAZER MD

Original Issue Date

12/31/1993

Effective Date

12/31/1993

Expiration Date

07/31/2002

City

MEQUON

State

Zip

53092

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006