JOSEPH DAVID NICOLAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080039

License Status

ACTIVE

Business

Title

First Name

JOSEPH

Middle

DAVID

Last Name

NICOLAS

Business Name

JOSEPH DAVID NICOLAS MD

Original Issue Date

06/23/2025

Effective Date

06/23/2025

Expiration Date

06/22/2028

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

03/30/2025