NICOLE C P THOMPSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042350

License Status

EXPIRED

Business

Title

First Name

NICOLE

Middle

C P

Last Name

THOMPSON

Business Name

NICOLE C P THOMPSON MD

Original Issue Date

06/24/2001

Effective Date

06/24/2001

Expiration Date

12/22/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatric Anesthesiology

Ever Disciplined

LastModifiedDate

01/26/2007