DONALD MICHAEL GLENN Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002506

License Status

INACTIVE

Business

First Name

DONALD

Middle

MICHAEL

Last Name

GLENN

Business Name

DONALD MICHAEL GLENN

Original Issue Date

07/20/2005

Effective Date

12/12/2023

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

12/12/2025