NICHOLAS RYAN MAURER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079364

License Status

CANCELLED

Business

Title

First Name

NICHOLAS

Middle

RYAN

Last Name

MAURER

Business Name

NICHOLAS RYAN MAURER MD

Original Issue Date

06/23/2022

Effective Date

06/23/2022

Expiration Date

06/22/2025

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/14/2022