NICHOLAS JAMES WEBER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065175

License Status

CANCELLED

Business

Title

First Name

NICHOLAS

Middle

JAMES

Last Name

WEBER

Business Name

NICHOLAS JAMES WEBER DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/10/2014