KIERAN J NICHOLSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

KIERAN J

Last Name

NICHOLSON

Business Name

KIERAN J NICHOLSON

Original Issue Date

07/17/1992

Effective Date

07/17/1992

Expiration Date

07/31/1993

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020