ALEXANDER NICHOLS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

ALEXANDER

Last Name

NICHOLS

Business Name

ALEXANDER NICHOLS

Original Issue Date

05/02/1983

Effective Date

07/25/2008

Expiration Date

07/31/2011

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011