NICHOLETTE MONIQ MARTIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084416

License Status

NOT RENEWED

Business

First Name

NICHOLETTE MONIQ

Last Name

MARTIN

Business Name

NICHOLETTE MONIQ MARTIN

Original Issue Date

05/26/1992

Effective Date

05/26/1992

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006