JASON PHILLIP GLOVER Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

First Name

JASON

Middle

PHILLIP

Last Name

GLOVER

Business Name

JASON PHILLIP GLOVER

Original Issue Date

05/18/2007

Effective Date

05/18/2007

Expiration Date

01/31/2009

City

DES PLAINES

State

Zip

60016

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2009