NICKOLAS TYLER WALKER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061849

License Status

EXPIRED

Business

Title

First Name

NICKOLAS

Middle

TYLER

Last Name

WALKER

Business Name

NICKOLAS TYLER WALKER MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/04/2015