NICOLE SERRA WILDER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156774

License Status

ACTIVE

Business

Title

First Name

NICOLE

Middle

SERRA

Last Name

WILDER

Business Name

NICOLE SERRA WILDER MD

Original Issue Date

04/30/2021

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Ever Disciplined

LastModifiedDate

06/16/2023