NICOLE MARIE AZAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086527

License Status

NOT RENEWED

Business

First Name

NICOLE MARIE

Last Name

AZAR

Suffix

Business Name

NICOLE MARIE AZAR MD

Original Issue Date

06/21/1993

Effective Date

06/21/1993

Expiration Date

07/31/1996

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006