NICOLE KELLY MOZDEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116141

License Status

ACTIVE

Business

First Name

NICOLE

Middle

KELLY

Last Name

MOZDEN

Suffix

Business Name

NICOLE KELLY MOZDEN MD

Original Issue Date

06/06/2006

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

PALOS HEIGHTS

State

Zip

60463

Ever Disciplined

LastModifiedDate

04/06/2023