ALLISON GRACE MCNICKLE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058070

License Status

EXPIRED

Business

Title

First Name

ALLISON

Middle

GRACE

Last Name

MCNICKLE

Business Name

ALLISON GRACE MCNICKLE MD

Original Issue Date

06/17/2011

Effective Date

06/17/2011

Expiration Date

06/16/2013

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/07/2013