NICOLAS S ANDERSON DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005287

License Status

ACTIVE

Business

First Name

NICOLAS

Middle

Last Name

ANDERSON

Suffix

DPM

Business Name

NICOLAS S ANDERSON DPM

Original Issue Date

06/16/2006

Effective Date

01/07/2025

Expiration Date

01/31/2027

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

02/26/2025