NICHOLAS ADAM LOVE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060555

License Status

CANCELLED

Business

Title

First Name

NICHOLAS

Middle

ADAM

Last Name

LOVE

Business Name

NICHOLAS ADAM LOVE DO

Original Issue Date

07/29/2011

Effective Date

07/29/2011

Expiration Date

07/28/2013

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/15/2011