NICOLE SUE SWAVELY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060051

License Status

CANCELLED

Business

Title

First Name

NICOLE

Middle

SUE

Last Name

SWAVELY

Business Name

NICOLE SUE SWAVELY MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014