NICHOLAS CLAUSEN DAANE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147541

License Status

NOT RENEWED

Business

Title

First Name

NICHOLAS

Middle

CLAUSEN

Last Name

DAANE

Business Name

NICHOLAS CLAUSEN DAANE DO

Original Issue Date

10/05/2018

Effective Date

10/05/2018

Expiration Date

09/30/2020

City

PARK RIDGE

State

Zip

60068

Ever Disciplined

LastModifiedDate

01/14/2021