NICSHA AVIANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053386

License Status

NOT RENEWED

Business

First Name

NICSHA

Last Name

AVIANI

Suffix

Business Name

NICSHA AVIANI MD

Original Issue Date

08/25/1976

Effective Date

08/25/1976

Expiration Date

07/31/1984

City

DARIEN

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006