NICHOLAS M MITTICA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035168

License Status

EXPIRED

Business

First Name

NICHOLAS

Middle

Last Name

MITTICA

Business Name

NICHOLAS M MITTICA

Original Issue Date

06/20/1996

Effective Date

06/20/1996

Expiration Date

06/18/2000

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006