NICOLE GEORGANN VICCARI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162640

License Status

ACTIVE

Business

Title

First Name

NICOLE

Middle

GEORGANN

Last Name

VICCARI

Business Name

NICOLE GEORGANN VICCARI MD

Original Issue Date

10/18/2022

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

07/06/2023