CIARA GLENN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****91

License Status

ACTIVE

Business

First Name

CIARA

Last Name

GLENN

Business Name

CIARA GLENN

Original Issue Date

08/18/2021

Effective Date

02/23/2024

Expiration Date

03/01/2026

City

QUINCY

State

Zip

62305

County

ADAMS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025