RICHARD W NICOLAY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068325

License Status

CANCELLED

Business

Title

First Name

RICHARD

Middle

Last Name

NICOLAY

Business Name

RICHARD W NICOLAY MD

Original Issue Date

06/23/2019

Effective Date

06/23/2019

Expiration Date

06/22/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

03/01/2019