ELAINE A NICOLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073525

License Status

NOT RENEWED

Business

First Name

ELAINE A

Last Name

NICOLA

Suffix

Business Name

ELAINE A NICOLA MD

Original Issue Date

08/19/1986

Effective Date

08/19/1986

Expiration Date

07/31/1993

City

CARPENTERSVILLE

State

Zip

60110

County

KANE

Ever Disciplined

LastModifiedDate

09/09/2009