BRIAN PAUL GLASZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****37

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

PAUL

Last Name

GLASZ

Business Name

BRIAN PAUL GLASZ

Original Issue Date

05/27/2008

Effective Date

02/08/2016

Expiration Date

03/01/2018

City

MORRISON

State

Zip

61270

County

WHITESIDE

Ever Disciplined

LastModifiedDate

05/10/2018