LESTER L NIDER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069856

License Status

NOT RENEWED

Business

First Name

LESTER L

Last Name

NIDER

Suffix

Business Name

LESTER L NIDER MD

Original Issue Date

11/16/1984

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

01/14/2021