DONALD MICHAEL GLENN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****72

License Status

INOPERATIVE

Business

First Name

DONALD

Middle

MICHAEL

Last Name

GLENN

Business Name

DONALD MICHAEL GLENN

Original Issue Date

09/13/2005

Effective Date

12/14/2023

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60618

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025