ROBERT MARTIN NIEDERMEYER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071092

License Status

EXPIRED

Business

Title

First Name

ROBERT

Middle

MARTIN

Last Name

NIEDERMEYER

Business Name

ROBERT MARTIN NIEDERMEYER DO

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2020

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

11/19/2020