Final Order No. STATE OF FLORIDA ae BOARD OF DENTISTRY By_U: (eke. 7 D eputy Agency Clerk DEPARTMENT OF HEALTH, Petitioner, vs. CASE NO.: 00-04331 Bo B 2 LAWRIE GLICKMAN, D.D.S. Respondent. FINAL ORDER This cause came before the Board of Dentistry on March 2, 2001, in Jacksonville, Florida for final agency action. Respondent is a licensed dentist and holds Florida License No. DN 0001383. Petitioner made an investigation as part of disciplinary proceedings against the Respondent. As a result of the investigation an Administrative Complaint has been filed. In order to avoid further administrative proceedings, the Respondent has submitted a petition for voluntary relinquishment of license which is attached to and made a part of this Final Order. | The Board has considered Respondent's petition, and concludes it is appropriate in the circumstances. It is therefore ORDERED that the voluntary relinguishment of the license of . trwin Ennis is ACCEPTED, and Respondent shall not again apply for licensure as a dentist in a This F Final Order shall take effect u upon on fling with the Ci Clerk 0 of the 71 Department of Heath. The parties are hereb notified that they may appeal this Final Order by fing one copy ofa Notice of Appeal withthe Clerk of the Department of Heatth and by filing @fiing fee and one copy of a Notice of Appeal with the District Court of Appeal within thirty (30) days of the date this Final Order is filed. DONE AND ORDERED this 3 day of _ Mar 4 , 2001. DOH-9 TENS 1.0585. S moa Deparment oF ith 7 OE | BOARD OF DENTISTRY CHARLES L. ROSS, D.D.S. CHAIRMAN CERTIFICATE OF SERVICE | HEREBY CERTIFY that a true and correct copy of the foregoing Final Order has been forwarded by United States Mail this. day of 2001, to Lawrie Glickman, D.D.S., 714 South Orleans Avenue, Tampa, FL 33606 and by hand delivery/United States Mail to the Clerk, Department of Health and its Counsel. AMENDED CERTIFICATE OF SERVICE HEREBY CERTIFY that a true and correct copy of the foregoing Final Order has been : forwarded by certified mail to Lawrie Glickman, DDS, 4221 El Prado Bivd., Tampa, FI 33629, Lawrie Glickman, DDS, 714 South Orleans Avenue, Tampa, Fl 33606, and interoffice delivery to the Clerk, Department of Health and its Counsel, this gst day of Cho. , 2001. RECEIVED — Jn ai vit STATE OF FLORIDA ‘ . SE alee _DEPARTMENT OF HEALTH BOARD OF DENTISTRY IN RE: LAWRIE GLICKMAN, D.D.S. CASE NO. 2000-04331 LICENSE NO. DN 1383. , VOLUNTARY RELINOQUISHMENT OF LICENSE COMES NOW, the above named licensee and voluntarily and permanently ‘relinquishes his license as a dentist, license number DN 1383. This relinquishment is executed by the above named licensee in response to the licensee’s notification that a complaint was filed against the licensee for failing to comply with a Final Order by the Board of Dentistry. The licensee understands that this document will be considered a petition to voluntarily relinquish his dentistry license which will not become effective until presented to, and accepted by, the Board of Dentistry at a regularly scheduled meeting. The licensee hereby waives notice and opportunity to be heard in regards to acceptance of this relinquishment . The licensee understands that upon acceptance of this relinguishment, the licensee must cease the practice of dentistry permanently within the State of Florida. The licensee : agrees not to petition the Board for reinstatement of the license. - 004200 REPORT EXHIBIT! PAGE #_ DATED this day of __. ea . . CN is & “ LAWRIE GLICKMAN, DDS. ~ _ Before me personally appeared whose identity is known to ———.——_—— me by , and who, under oath, acknowledges that his Signature appears above. ; Sworn to and subscribed by Respondent before me this day of » 2000. RSA | Notary Public DE My Commission Expires: i¢ \ vy WA, CucNs Oe Ron iceman June 1, 2000 AY rSukL. “Gdeans Ve Tamya Flo? ha 33Ub ant (she) ae) GLickrran Box 2217 aa FL 32a4s UE ST py "004201

Docket for Case No: 00-004331