JAMES WILLIAM NICKLAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

JAMES WILLIAM

Last Name

NICKLAS

Suffix

Business Name

JAMES WILLIAM NICKLAS MD

Original Issue Date

01/01/1997

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/10/2011