NICHOLAS TAYLOR WOOLF MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070399

License Status

CANCELLED

Business

Title

First Name

NICHOLAS

Middle

TAYLOR

Last Name

WOOLF

Business Name

NICHOLAS TAYLOR WOOLF MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2020

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/04/2017