NICHOLAS EUGENE MAKSIM DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057694

License Status

EXPIRED

Business

First Name

NICHOLAS

Middle

EUGENE

Last Name

MAKSIM

Suffix

Business Name

NICHOLAS EUGENE MAKSIM DO

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2011

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Interventional Cardiology

Ever Disciplined

LastModifiedDate

07/19/2011