ALAN SCOTT GLICKLICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084366

License Status

NOT RENEWED

Business

First Name

ALAN SCOTT

Last Name

GLICKLICH

Suffix

Business Name

ALAN SCOTT GLICKLICH MD

Original Issue Date

05/12/1992

Effective Date

05/12/1992

Expiration Date

07/31/2002

City

MEQUON

State

Zip

53092

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/18/2007

Case Number

2004009383

Action

Reprimand

Discipline Start Date

06/06/2008

Discipline Reason

Disciplined in the state of Wisconsin.