BROOKE GLANZMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****30

License Status

NOT RENEWED

Business

First Name

BROOKE

Last Name

GLANZMAN

Business Name

BROOKE GLANZMAN

Original Issue Date

03/10/2020

Effective Date

02/28/2022

Expiration Date

03/01/2024

City

RIVER FOREST

State

Zip

60305

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025