GERALD GLICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

GERALD

Last Name

GLICK

Suffix

Business Name

GERALD GLICK MD

Original Issue Date

01/01/1997

Effective Date

06/28/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014