NICHOLAS RYAN ANDERSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081880

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

RYAN

Last Name

ANDERSON

Business Name

NICHOLAS RYAN ANDERSON DO

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

05/06/2023