GERALD GLICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044975

License Status

NOT RENEWED

Business

First Name

GERALD

Last Name

GLICK

Suffix

Business Name

GERALD GLICK MD

Original Issue Date

10/20/1971

Effective Date

06/28/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014