TYLER C NICHOLSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001450

License Status

EXPIRED

Business

Title

First Name

TYLER

Middle

Last Name

NICHOLSON

Business Name

TYLER C NICHOLSON MD

Original Issue Date

02/08/2022

Effective Date

02/08/2022

Expiration Date

04/18/2022

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

10/11/2022