KATHERINE BUGEAU NICKLEY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063380

License Status

EXPIRED

Business

First Name

KATHERINE

Middle

BUGEAU

Last Name

NICKLEY

Suffix

Business Name

KATHERINE BUGEAU NICKLEY MD

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

10/25/2018