NICOLE MARIE FORTUNA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166344

License Status

ACTIVE

Business

Title

First Name

NICOLE

Middle

MARIE

Last Name

FORTUNA

Business Name

NICOLE MARIE FORTUNA DO

Original Issue Date

08/05/2023

Effective Date

08/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

Ever Disciplined

LastModifiedDate

08/05/2023