MICHAEL GLICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158738

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Last Name

GLICK

Business Name

MICHAEL GLICK MD

Original Issue Date

11/09/2021

Effective Date

11/09/2021

Expiration Date

07/31/2023

City

CHARLOTTESVILLE

State

Zip

22902

Ever Disciplined

LastModifiedDate

11/30/2023