JAMES ELLIS GLUCKIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051422

License Status

NOT RENEWED

Business

First Name

JAMES ELLIS

Last Name

GLUCKIN

Suffix

Business Name

JAMES ELLIS GLUCKIN MD

Original Issue Date

08/15/1975

Effective Date

08/15/1975

Expiration Date

07/31/1987

City

ELKHART

State

Zip

46514

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006