NICHOLAS PAUL CAMPBELL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051262

License Status

CANCELLED

Business

First Name

NICHOLAS

Middle

PAUL

Last Name

CAMPBELL

Suffix

Business Name

NICHOLAS PAUL CAMPBELL MD

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

City

EVANSTON

State

Zip

60201

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006