NICHOLAS PAUL MILLER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054108

License Status

CANCELLED

Business

Title

First Name

NICHOLAS

Middle

PAUL

Last Name

MILLER

Business Name

NICHOLAS PAUL MILLER MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

04/14/2011