NICOLE BONIQUIT LEVY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061401

License Status

EXPIRED

Business

Title

First Name

NICOLE

Middle

BONIQUIT

Last Name

LEVY

Business Name

NICOLE BONIQUIT LEVY MD

Original Issue Date

06/24/2012

Effective Date

06/24/2012

Expiration Date

06/23/2015

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/04/2015