GERALD LEE NICKERSON JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016117

License Status

EXPIRED

Business

First Name

GERALD LEE

Last Name

NICKERSON

Suffix

JR MD

Business Name

GERALD LEE NICKERSON JR MD

Original Issue Date

06/27/1983

Effective Date

06/27/1983

Expiration Date

07/01/1985

City

CHICAGO

State

Zip

60649

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/08/2007