NICHOLAS O BINGHAM MD - Medical Doctor License in Illinois | # 125047379

NICHOLAS O BINGHAM MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047379

License Status

EXPIRED

Business

N

First Name

NICHOLAS

Middle

O

Last Name

BINGHAM

Suffix

MD

Business Name

NICHOLAS O BINGHAM MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2005

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006