GLENN A NICKELE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023307

License Status

EXPIRED

Business

First Name

GLENN A

Last Name

NICKELE

Suffix

Business Name

GLENN A NICKELE MD

Original Issue Date

04/19/1989

Effective Date

04/19/1989

Expiration Date

06/23/1992

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006