NICOLE R BECKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092649

License Status

NOT RENEWED

Business

First Name

NICOLE R

Last Name

BECKER

Suffix

Business Name

NICOLE R BECKER MD

Original Issue Date

05/01/1996

Effective Date

05/01/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006