NICOLE SUZANNE WHITE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108029

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

SUZANNE

Last Name

WHITE

Suffix

Business Name

NICOLE SUZANNE WHITE MD

Original Issue Date

10/16/2002

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60612

Ever Disciplined

LastModifiedDate

11/14/2011