TERRY L NICOLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015123

License Status

EXPIRED

Business

First Name

TERRY L

Last Name

NICOLA

Suffix

Business Name

TERRY L NICOLA MD

Original Issue Date

01/21/1983

Effective Date

01/21/1983

Expiration Date

01/04/1985

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006