JACQUELINE WYNNE NICHOLS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166140

License Status

ACTIVE

Business

Title

First Name

JACQUELINE

Middle

WYNNE

Last Name

NICHOLS

Business Name

JACQUELINE WYNNE NICHOLS MD

Original Issue Date

07/25/2023

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

07/07/2023