NICOLE R MOTT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112820

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

MOTT

Suffix

Business Name

NICOLE R MOTT DO

Original Issue Date

12/28/2004

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

03/17/2025