ANDREW EDWARD NICOLI DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051421

License Status

CANCELLED

Business

First Name

ANDREW

Middle

EDWARD

Last Name

NICOLI

Suffix

Business Name

ANDREW EDWARD NICOLI DO

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006