JESSICA M NICHOLSON DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058419

License Status

CANCELLED

Business

Title

First Name

JESSICA

Middle

Last Name

NICHOLSON

Business Name

JESSICA M NICHOLSON DO

Original Issue Date

06/21/2010

Effective Date

06/21/2010

Expiration Date

06/20/2013

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

04/28/2010