MARK RYAN NIKKEL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028502

License Status

EXPIRED

Business

First Name

MARK

Middle

RYAN

Last Name

NIKKEL

Suffix

Business Name

MARK RYAN NIKKEL DO

Original Issue Date

06/01/1992

Effective Date

06/01/1992

Expiration Date

06/21/1998

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

General Practice

Ever Disciplined

LastModifiedDate

09/22/2006