JASON S GLICK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

GLICK

Suffix

DDS

Business Name

JASON S GLICK DDS

Original Issue Date

08/22/2008

Effective Date

08/22/2008

Expiration Date

09/30/2009

City

TINLEY PARK

State

Zip

60477

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009