KATHLEEN MARGARET NILLES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128000

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

MARGARET

Last Name

NILLES

Suffix

Business Name

KATHLEEN MARGARET NILLES MD

Original Issue Date

06/02/2011

Effective Date

06/11/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

6061

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021