NICHOLETTE MONIQ MARTIN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025775

License Status

EXPIRED

Business

First Name

NICHOLETTE MONIQ

Last Name

MARTIN

Business Name

NICHOLETTE MONIQ MARTIN

Original Issue Date

06/28/1990

Effective Date

06/28/1990

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006