CHONG H NICHOLLS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031785

License Status

EXPIRED

Business

First Name

CHONG

Middle

Last Name

NICHOLLS

Business Name

CHONG H NICHOLLS

Original Issue Date

06/10/1994

Effective Date

06/10/1994

Expiration Date

06/24/1997

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

04/29/2011