TY J GLUCKMAN Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100542

License Status

INACTIVE

Business

First Name

Middle

Last Name

GLUCKMAN

Business Name

TY J GLUCKMAN

Original Issue Date

07/02/1999

Effective Date

07/02/1999

Expiration Date

07/31/2002

City

WINNETKA

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

01/23/2008