EDWARD G NICHOLSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057162

License Status

NOT RENEWED

Business

First Name

EDWARD G

Last Name

NICHOLSON

Suffix

Business Name

EDWARD G NICHOLSON DO

Original Issue Date

07/24/1978

Effective Date

05/27/2014

Expiration Date

07/31/2017

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017