MATTHEW K NICKERSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031093

License Status

EXPIRED

Business

First Name

MATTHEW K

Last Name

NICKERSON

Suffix

Business Name

MATTHEW K NICKERSON DO

Original Issue Date

05/11/1994

Effective Date

05/11/1994

Expiration Date

06/20/1997

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006