MELVIN IRA GLICK II MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057005

License Status

NOT RENEWED

Business

First Name

MELVIN IRA

Last Name

GLICK II

Suffix

Business Name

MELVIN IRA GLICK II MD

Original Issue Date

07/10/1978

Effective Date

05/30/2018

Expiration Date

09/30/2020

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021