JOHN K GLENN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000664

License Status

NOT RENEWED

Business

First Name

JOHN K

Last Name

GLENN

Business Name

JOHN K GLENN

Original Issue Date

01/13/1995

Effective Date

01/13/1995

Expiration Date

03/01/2000

City

PITTSFIELD

State

Zip

62353

County

PIKE

Ever Disciplined

LastModifiedDate

09/26/2006