JOEL WILLIAM NIEBUHR DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046670

License Status

EXPIRED

Business

First Name

JOEL

Middle

WILLIAM

Last Name

NIEBUHR

Suffix

Business Name

JOEL WILLIAM NIEBUHR DO

Original Issue Date

06/19/2003

Effective Date

06/19/2003

Expiration Date

06/27/2006

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/09/2009