NICHOLAS MICHAEL MILLER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063509

License Status

CANCELLED

Business

Title

First Name

NICHOLAS

Middle

MICHAEL

Last Name

MILLER

Business Name

NICHOLAS MICHAEL MILLER MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/24/2014