NICHOLAS M TABOR III Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004144

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

Last Name

TABOR

Suffix

III

Business Name

NICHOLAS M TABOR III

Original Issue Date

07/13/1987

Effective Date

12/03/2024

Expiration Date

01/31/2027

City

LA SALLE

State

Zip

61301

County

LA SALLE

Ever Disciplined

LastModifiedDate

02/26/2025