LARA KATHRYN NICOL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145061

License Status

ACTIVE

Business

Title

First Name

LARA

Middle

KATHRYN

Last Name

NICOL

Business Name

LARA KATHRYN NICOL MD

Original Issue Date

02/07/2018

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023