JONATHAN NEIL GLICKMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123316

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

NEIL

Last Name

GLICKMAN

Suffix

Business Name

JONATHAN NEIL GLICKMAN MD

Original Issue Date

05/01/2009

Effective Date

07/03/2014

Expiration Date

07/31/2017

City

NEWTON

State

Zip

02459

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

11/01/2017