COURTNEY GWYN NICHOLS DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000439

License Status

EXPIRED

Business

First Name

COURTNEY

Middle

GWYN

Last Name

NICHOLS

Suffix

DPM

Business Name

COURTNEY GWYN NICHOLS DPM

Original Issue Date

05/25/2000

Effective Date

05/25/2000

Expiration Date

06/30/2001

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006