NICHOLAS STADIS PATNIYOT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049450

License Status

EXPIRED

Business

First Name

NICHOLAS

Middle

STADIS

Last Name

PATNIYOT

Suffix

Business Name

NICHOLAS STADIS PATNIYOT MD

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

06/23/2009

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

07/15/2009