NICOLAS GISELLIE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084580

License Status

ACTIVE

Business

Title

First Name

NICOLAS

Last Name

GISELLIE

Business Name

NICOLAS GISELLIE MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/05/2024