NICOLE JEANETTE SPENCER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050818

License Status

CANCELLED

Business

Title

First Name

NICOLE

Middle

JEANETTE

Last Name

SPENCER

Business Name

NICOLE JEANETTE SPENCER MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neuromuscular Medicine

Ever Disciplined

LastModifiedDate

06/02/2010