DAVID BRIAN GLICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

BRIAN

Last Name

GLICK

Suffix

Business Name

DAVID BRIAN GLICK MD

Original Issue Date

07/19/2011

Effective Date

05/07/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020