ALLISON GRACE MCNICKLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132038

License Status

NOT RENEWED

Business

Title

First Name

ALLISON

Middle

GRACE

Last Name

MCNICKLE

Business Name

ALLISON GRACE MCNICKLE MD

Original Issue Date

03/05/2013

Effective Date

05/26/2014

Expiration Date

07/31/2017

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017