NILS AXEL LOEWEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050449

License Status

EXPIRED

Business

First Name

NILS

Middle

AXEL

Last Name

LOEWEN

Suffix

Business Name

NILS AXEL LOEWEN MD

Original Issue Date

07/08/2005

Effective Date

07/08/2005

Expiration Date

07/07/2008

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

07/31/2008