NICOLE CONRAD MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042618296

License Status

NOT RENEWED

Business

Business Name

NICOLE CONRAD MD SC

Original Issue Date

07/06/2004

Effective Date

10/26/2006

Expiration Date

01/01/2008

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

02/15/2008