SHANICKA NATE WILLIAMS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056482

License Status

EXPIRED

Business

First Name

SHANICKA

Middle

NATE

Last Name

WILLIAMS

Suffix

Business Name

SHANICKA NATE WILLIAMS MD

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

06/21/2012

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/29/2012