NICHOLAS L MENTUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063568

License Status

NOT RENEWED

Business

First Name

NICHOLAS L

Last Name

MENTUS

Suffix

Business Name

NICHOLAS L MENTUS MD

Original Issue Date

11/19/1981

Effective Date

11/19/1981

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006