License holder summary

GLENN CARLTON CHAMPAGNE is a Medical - Licensed Physician licensed to practice in Alaska. The address on file for GLENN CARLTON CHAMPAGNE is 130 MOODY ROAD MALONE NY 12953. This licensed professional license is current. The license was granted 11/05/2012 and expired on 12/31/2014.

Alaska

Division of Corporations, Business and Professional Licensing

GLENN CARLTON CHAMPAGNE
Medical - Licensed Physician
License number
7554
Date granted
11/05/2012
Date expires
12/31/2014
Class
Medical - Licensed Physician
Status
Licensed
Address
130 MOODY ROAD MALONE NY 12953
alaskalicensing.com
ID 20412170
LAST UPDATED 2024-02-15 09:48:26 UTC

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