NICHOLAS RYAN MASSE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060944

License Status

CANCELLED

Business

First Name

NICHOLAS

Middle

RYAN

Last Name

MASSE

Suffix

Business Name

NICHOLAS RYAN MASSE MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

03/05/2015