MICHAEL A NICHOLAS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067937

License Status

NOT RENEWED

Business

First Name

MICHAEL A

Last Name

NICHOLAS

Suffix

Business Name

MICHAEL A NICHOLAS DO

Original Issue Date

11/16/1983

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

CRETE

State

Zip

60417

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021