NICOLE TATE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037958

License Status

EXPIRED

Business

First Name

NICOLE

Last Name

TATE

Business Name

NICOLE TATE

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

06/30/2002

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006