NICOLE MARIE PADILLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140735

License Status

ACTIVE

Business

Title

First Name

NICOLE

Middle

MARIE

Last Name

PADILLA

Business Name

NICOLE MARIE PADILLA MD

Original Issue Date

05/20/2016

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2023