NICHOLAS STEPHEN RACE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001514

License Status

EXPIRED

Business

Title

First Name

NICHOLAS

Middle

STEPHEN

Last Name

RACE

Business Name

NICHOLAS STEPHEN RACE MD

Original Issue Date

02/01/2023

Effective Date

02/01/2023

Expiration Date

03/31/2023

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

03/06/2024