BRIAN J NICKOLOFF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092377

License Status

NOT RENEWED

Business

First Name

BRIAN J

Last Name

NICKOLOFF

Suffix

Business Name

BRIAN J NICKOLOFF MD

Original Issue Date

02/01/1996

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014