NICHOLAS CLARK BARNES DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044198

License Status

EXPIRED

Business

First Name

NICHOLAS

Middle

CLARK

Last Name

BARNES

Suffix

Business Name

NICHOLAS CLARK BARNES DO

Original Issue Date

05/01/2002

Effective Date

05/01/2002

Expiration Date

06/21/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006