ALISA LOUISE NIKSCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116468

License Status

NOT RENEWED

Business

First Name

ALISA

Middle

LOUISE

Last Name

NIKSCH

Suffix

Business Name

ALISA LOUISE NIKSCH MD

Original Issue Date

07/12/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011