HEIDI AZMY NICOLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055075

License Status

CANCELLED

Business

Title

First Name

HEIDI

Middle

AZMY

Last Name

NICOLA

Business Name

HEIDI AZMY NICOLA MD

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

06/23/2011

City

OAKBROOK

State

Zip

60523

County

DUPAGE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/30/2008