NICHOLAS CLAUSEN DAANE DO - Medical Doctor License in Illinois | # 130001384

NICHOLAS CLAUSEN DAANE DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001384

License Status

EXPIRED

Business

N

Title

DO

First Name

NICHOLAS

Middle

CLAUSEN

Last Name

DAANE

Business Name

NICHOLAS CLAUSEN DAANE DO

Original Issue Date

05/01/2021

Effective Date

05/01/2021

Expiration Date

05/31/2021

State

IL

Specialty/Qualifier

Gastroenterology

Ever Disciplined

N

LastModifiedDate

07/20/2021