RICHARD EVAN NICHOLS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051382

License Status

CANCELLED

Business

First Name

RICHARD

Middle

EVAN

Last Name

NICHOLS

Suffix

Business Name

RICHARD EVAN NICHOLS MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006