J DAVID AMLICKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081817

License Status

NOT RENEWED

Business

First Name

J DAVID

Last Name

AMLICKE

Suffix

Business Name

J DAVID AMLICKE MD

Original Issue Date

11/15/1990

Effective Date

11/15/1990

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006