RICHARD C NIELSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058941

License Status

NOT RENEWED

Business

First Name

RICHARD C

Last Name

NIELSEN

Suffix

Business Name

RICHARD C NIELSEN MD

Original Issue Date

07/20/1979

Effective Date

07/20/1979

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006