ERIC H NIPPOLDT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070786

License Status

CANCELLED

Business

Title

First Name

ERIC

Middle

Last Name

NIPPOLDT

Business Name

ERIC H NIPPOLDT MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/26/2017