NICOLE KATHRYN LONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036178851

License Status

ACTIVE

Business

Title

First Name

NICOLE

Middle

KATHRYN

Last Name

LONG

Business Name

NICOLE KATHRYN LONG MD

Original Issue Date

02/09/2026

Effective Date

02/09/2026

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

02/09/2026