ADAM D NICHOLAS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054608

License Status

CANCELLED

Business

Title

First Name

ADAM

Middle

Last Name

NICHOLAS

Business Name

ADAM D NICHOLAS MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

05/29/2008