NICHOLAS J STALLION DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083689

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

Last Name

STALLION

Business Name

NICHOLAS J STALLION DO

Original Issue Date

06/25/2024

Effective Date

06/25/2024

Expiration Date

06/24/2027

City

PARK RIDGE

State

Zip

60068

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/16/2024