LUCILLE GLENN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010932

License Status

ACTIVE

Business

First Name

LUCILLE

Last Name

GLENN

Business Name

LUCILLE GLENN

Original Issue Date

11/12/2024

Effective Date

01/13/2026

Expiration Date

03/01/2028

City

PALATINE

State

Zip

60074

Ever Disciplined

LastModifiedDate

01/13/2026