KIERAN J NICHOLSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019967

License Status

EXPIRED

Business

First Name

KIERAN J

Last Name

NICHOLSON

Business Name

KIERAN J NICHOLSON

Original Issue Date

06/30/1986

Effective Date

06/30/1986

Expiration Date

06/22/1989

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006