NICOLE DANIELLE KING MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033380

License Status

EXPIRED

Business

First Name

NICOLE

Middle

DANIELLE

Last Name

KING

Suffix

Business Name

NICOLE DANIELLE KING MD

Original Issue Date

06/14/1995

Effective Date

06/14/1995

Expiration Date

06/21/1998

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006