NICHOLAS CLAUSEN DAANE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068145

License Status

EXPIRED

Business

Title

First Name

NICHOLAS

Middle

CLAUSEN

Last Name

DAANE

Business Name

NICHOLAS CLAUSEN DAANE DO

Original Issue Date

06/25/2016

Effective Date

06/25/2016

Expiration Date

06/24/2019

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/02/2019