MARY NICOLE NIENOW BIRCH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075635

License Status

EXPIRED

Business

First Name

MARY

Middle

NICOLE

Last Name

NIENOW BIRCH

Business Name

MARY NICOLE NIENOW BIRCH

Original Issue Date

06/24/2023

Effective Date

06/24/2023

Expiration Date

06/23/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

10/30/2024