GLEB H GORELICK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041186

License Status

EXPIRED

Business

First Name

GLEB

Middle

Last Name

GORELICK

Business Name

GLEB H GORELICK

Original Issue Date

06/21/2000

Effective Date

06/21/2000

Expiration Date

06/20/2005

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006