JONATHAN S GLICKSTEIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

Last Name

GLICKSTEIN

Business Name

JONATHAN S GLICKSTEIN MD

Original Issue Date

12/07/2020

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

GIBSON CITY

State

Zip

60936

County

FORD

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023