JOHN THOMAS NICKLESS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063116

License Status

CANCELLED

Business

Title

First Name

JOHN

Middle

THOMAS

Last Name

NICKLESS

Business Name

JOHN THOMAS NICKLESS MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2016

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014