NICHOLAS JAMES HACKETT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070760

License Status

EXPIRED

Business

Title

First Name

NICHOLAS

Middle

JAMES

Last Name

HACKETT

Business Name

NICHOLAS JAMES HACKETT MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

10/11/2022