STANTON JOHN NIELSEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163773

License Status

ACTIVE

Business

Title

First Name

STANTON

Middle

JOHN

Last Name

NIELSEN

Business Name

STANTON JOHN NIELSEN DO

Original Issue Date

02/23/2023

Effective Date

05/08/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

05/22/2024