NICOLE KARIN KLEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116526

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

KARIN

Last Name

KLEIN

Suffix

Business Name

NICOLE KARIN KLEIN MD

Original Issue Date

07/18/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008