NICOLE LISA LANG DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036215

License Status

EXPIRED

Business

First Name

NICOLE

Middle

LISA

Last Name

LANG

Suffix

Business Name

NICOLE LISA LANG DO

Original Issue Date

05/21/1997

Effective Date

05/21/1997

Expiration Date

06/30/2000

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006