NICHOLAS ROBERT GRIECO DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066333

License Status

EXPIRED

Business

Title

First Name

NICHOLAS

Middle

ROBERT

Last Name

GRIECO

Business Name

NICHOLAS ROBERT GRIECO DO

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2018

City

PEORIA

State

Zip

61636

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/25/2018