JOHN MICHAEL GLICK - Physician Assistant License in Indiana | # 085005743

JOHN MICHAEL GLICK

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005743

License Status

NOT RENEWED

Business

N

First Name

JOHN

Middle

MICHAEL

Last Name

GLICK

Business Name

JOHN MICHAEL GLICK

Original Issue Date

12/01/2015

Effective Date

12/01/2015

Expiration Date

03/01/2016

State

IN

Ever Disciplined

N

LastModifiedDate

04/25/2016