NICOLE DANIELLE KING MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096686

License Status

ACTIVE

Business

First Name

NICOLE

Middle

DANIELLE

Last Name

KING

Suffix

Business Name

NICOLE DANIELLE KING MD

Original Issue Date

09/11/1997

Effective Date

07/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

07/16/2023