MARK RYAN NIKKEL DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100980

License Status

NOT RENEWED

Business

First Name

MARK

Middle

RYAN

Last Name

NIKKEL

Suffix

Business Name

MARK RYAN NIKKEL DO

Original Issue Date

08/10/1999

Effective Date

07/11/2014

Expiration Date

07/31/2017

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017