ELLEN J GLICK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018084

License Status

EXPIRED

Business

First Name

ELLEN J

Last Name

GLICK

Suffix

Business Name

ELLEN J GLICK MD

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

06/24/1988

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006