NICHOLAS DWIGHT HARTMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055846

License Status

EXPIRED

Business

First Name

NICHOLAS

Middle

DWIGHT

Last Name

HARTMAN

Suffix

Business Name

NICHOLAS DWIGHT HARTMAN MD

Original Issue Date

06/23/2012

Effective Date

06/23/2012

Expiration Date

06/22/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

10/07/2013