GWEN L NICHOLS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069728

License Status

NOT RENEWED

Business

First Name

GWEN L

Last Name

NICHOLS

Suffix

Business Name

GWEN L NICHOLS MD

Original Issue Date

10/31/1984

Effective Date

10/31/1984

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006