JORDAN J NICHOLS Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

First Name

JORDAN J

Last Name

NICHOLS

Business Name

JORDAN J NICHOLS

Original Issue Date

06/26/1981

Effective Date

01/30/2019

Expiration Date

01/31/2021

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021