NICOLE MARIE GEISSEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132599

License Status

ACTIVE

Business

Title

First Name

NICOLE

Middle

MARIE

Last Name

GEISSEN

Business Name

NICOLE MARIE GEISSEN DO

Original Issue Date

04/23/2013

Effective Date

05/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2023