NICHOLAS IAN KIRCH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068941

License Status

CANCELLED

Business

Title

First Name

NICHOLAS

Middle

IAN

Last Name

KIRCH

Business Name

NICHOLAS IAN KIRCH MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2020

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

04/27/2019