W JOHN NICHOLAS MD 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

W JOHN

Last Name

NICHOLAS

Suffix

Business Name

W JOHN NICHOLAS MD

Original Issue Date

09/23/1983

Effective Date

09/23/1983

Expiration Date

07/31/1987

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006