NICOLE A BOLER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043140

License Status

CANCELLED

Business

First Name

NICOLE

Middle

Last Name

BOLER

Suffix

Business Name

NICOLE A BOLER MD

Original Issue Date

06/28/2001

Effective Date

06/28/2001

Expiration Date

06/27/2002

City

CHICAGO

State

Zip

60609

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006