DAVID A NICKELS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073396

License Status

INACTIVE

Business

First Name

DAVID A

Last Name

NICKELS

Suffix

Business Name

DAVID A NICKELS MD

Original Issue Date

08/07/1986

Effective Date

04/15/2011

Expiration Date

07/31/2014

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/21/2014