THOMAS J NIELSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017044

License Status

EXPIRED

Business

First Name

THOMAS J

Last Name

NIELSEN

Suffix

Business Name

THOMAS J NIELSEN MD

Original Issue Date

06/22/1984

Effective Date

06/22/1984

Expiration Date

06/25/1986

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

09/22/2006