NICOLE MARIE WYSOCKI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045570

License Status

EXPIRED

Business

First Name

NICOLE

Middle

MARIE

Last Name

WYSOCKI

Suffix

Business Name

NICOLE MARIE WYSOCKI MD

Original Issue Date

06/17/2003

Effective Date

06/17/2003

Expiration Date

06/16/2006

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006