KIMBERLY MARIE NICHOLSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052539

License Status

EXPIRED

Business

Title

First Name

KIMBERLY

Middle

MARIE

Last Name

NICHOLSON

Business Name

KIMBERLY MARIE NICHOLSON MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

07/19/2011