LUKAS M NYSTROM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131887

License Status

NOT RENEWED

Business

Title

First Name

LUKAS

Middle

Last Name

NYSTROM

Business Name

LUKAS M NYSTROM MD

Original Issue Date

12/28/2012

Effective Date

04/29/2014

Expiration Date

07/31/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017