MARK OLIVER NICHOLS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062979

License Status

NOT RENEWED

Business

First Name

MARK OLIVER

Last Name

NICHOLS

Suffix

Business Name

MARK OLIVER NICHOLS MD

Original Issue Date

08/24/1981

Effective Date

08/24/1981

Expiration Date

07/31/1987

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/07/2010