ADAM MICHAEL NICHOLSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125320

License Status

NOT RENEWED

Business

Title

First Name

ADAM

Middle

MICHAEL

Last Name

NICHOLSON

Business Name

ADAM MICHAEL NICHOLSON MD

Original Issue Date

03/29/2010

Effective Date

05/24/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014