NICOLE CHAPPELL ONTIVEROS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036173033

License Status

ACTIVE

Business

Title

First Name

NICOLE

Middle

CHAPPELL

Last Name

ONTIVEROS

Business Name

NICOLE CHAPPELL ONTIVEROS MD

Original Issue Date

12/12/2024

Effective Date

12/12/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

12/12/2024