NICKLAUS PAUL ATRIA MD - Medical Doctor License in Illinois | # 125059638

NICKLAUS PAUL ATRIA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059638

License Status

EXPIRED

Business

N

Title

MD

First Name

NICKLAUS

Middle

PAUL

Last Name

ATRIA

Business Name

NICKLAUS PAUL ATRIA MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2012

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

08/29/2012