JUAN GUSTAVO NIX MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163087

License Status

NOT RENEWED

Business

Title

First Name

JUAN

Middle

GUSTAVO

Last Name

NIX

Business Name

JUAN GUSTAVO NIX MD

Original Issue Date

12/05/2022

Effective Date

12/05/2022

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023