ETTA K COOLIDGE NEVEL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058491

License Status

NOT RENEWED

Business

First Name

ETTA K COOLIDGE

Last Name

NEVEL

Business Name

ETTA K COOLIDGE NEVEL

Original Issue Date

03/22/1979

Effective Date

03/22/1979

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

12/04/2018