NICOLAS MIGUEL CORDOBA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062485

License Status

EXPIRED

Business

Title

First Name

NICOLAS

Middle

MIGUEL

Last Name

CORDOBA

Business Name

NICOLAS MIGUEL CORDOBA MD

Original Issue Date

08/17/2013

Effective Date

08/17/2013

Expiration Date

08/16/2014

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/13/2015