NICOLE ELIZABETH DECREDICO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147479

License Status

NOT RENEWED

Business

Title

First Name

NICOLE

Middle

ELIZABETH

Last Name

DECREDICO

Business Name

NICOLE ELIZABETH DECREDICO MD

Original Issue Date

09/20/2018

Effective Date

09/20/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021