MICHAEL J GLANZER OD Optometrist License verification

Business Entity

INOPERATIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****97

License Status

INOPERATIVE

Business

First Name

MICHAEL J

Last Name

GLANZER

Suffix

Business Name

MICHAEL J GLANZER OD

Original Issue Date

10/03/1996

Effective Date

02/15/2000

Expiration Date

03/31/2002

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005