REUBEN TERRANCE NICHOLS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051986

License Status

NOT RENEWED

Business

First Name

REUBEN TERRANCE

Last Name

NICHOLS

Suffix

Business Name

REUBEN TERRANCE NICHOLS MD

Original Issue Date

10/17/1975

Effective Date

09/28/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023