NITZA L GLICK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000708

License Status

NOT RENEWED

Business

First Name

NITZA L

Last Name

GLICK

Business Name

NITZA L GLICK

Original Issue Date

12/19/1995

Effective Date

12/19/1995

Expiration Date

03/01/1998

City

WAUKEGAN

State

Zip

60087

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006