JEFFREY ALAN GLICK D D S Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

First Name

JEFFREY ALAN

Last Name

GLICK D D S

Business Name

JEFFREY ALAN GLICK D D S

Original Issue Date

01/01/1998

Expiration Date

09/30/1992

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005