JOHN MICHAEL GLICK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005743

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

MICHAEL

Last Name

GLICK

Business Name

JOHN MICHAEL GLICK

Original Issue Date

12/01/2015

Effective Date

12/01/2015

Expiration Date

03/01/2016

City

CARMEL

State

Zip

46032

County

INDIANA

Ever Disciplined

LastModifiedDate

04/25/2016