BRIAN E NICHOLSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031979

License Status

EXPIRED

Business

First Name

BRIAN

Middle

Last Name

NICHOLSON

Business Name

BRIAN E NICHOLSON

Original Issue Date

06/24/1994

Effective Date

06/24/1994

Expiration Date

06/30/2000

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

09/22/2006