NICKOLAS PETER MASTORES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036026396

License Status

NOT RENEWED

Business

First Name

NICKOLAS PETER

Last Name

MASTORES

Suffix

Business Name

NICKOLAS PETER MASTORES MD

Original Issue Date

08/04/1945

Effective Date

08/04/1945

Expiration Date

07/31/1987

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006