NICHOLAS JOHN LANZOTTI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075755

License Status

CANCELLED

Business

Title

First Name

NICHOLAS

Middle

JOHN

Last Name

LANZOTTI

Business Name

NICHOLAS JOHN LANZOTTI MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

04/23/2020