MIRYL GLENNER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****20

License Status

ACTIVE

Business

First Name

MIRYL

Last Name

GLENNER

Business Name

MIRYL GLENNER

Original Issue Date

08/02/2018

Effective Date

03/08/2026

Expiration Date

03/01/2028

City

EVANSTON

State

Zip

60201

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/08/2026