DAVID G GLICK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077291

License Status

INACTIVE

Business

Title

First Name

DAVID

Middle

Last Name

GLICK

Business Name

DAVID G GLICK MD

Original Issue Date

07/05/1988

Effective Date

07/05/1988

Expiration Date

07/31/1990

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

04/25/2012

Case Number

2012001363

Action

Refuse To Renew

Discipline Start Date

04/25/2012

Discipline Reason

due to a sister-state discipline by the state of California.