NICOLE FRAY RUP MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057759

License Status

EXPIRED

Business

Title

First Name

NICOLE

Middle

FRAY

Last Name

RUP

Business Name

NICOLE FRAY RUP MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

08/06/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

03/13/2015