MICHAEL ALLISON NICHOLS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046081

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

ALLISON

Last Name

NICHOLS

Suffix

Business Name

MICHAEL ALLISON NICHOLS MD

Original Issue Date

06/19/2003

Effective Date

06/19/2003

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

07/31/2008