NICOL S CORBIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043340

License Status

CANCELLED

Business

First Name

NICOL

Middle

Last Name

CORBIN

Suffix

Business Name

NICOL S CORBIN MD

Original Issue Date

06/19/2001

Effective Date

06/19/2001

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

09/22/2006