NICHOLE KATHLEEN LAVANWAY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125024

License Status

ACTIVE

Business

Title

First Name

NICHOLE

Middle

KATHLEEN

Last Name

LAVANWAY

Business Name

NICHOLE KATHLEEN LAVANWAY MD

Original Issue Date

02/23/2010

Effective Date

04/16/2023

Expiration Date

07/31/2026

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/01/2025