NICOLE CARMICHAEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063979

License Status

CANCELLED

Business

First Name

NICOLE

Last Name

CARMICHAEL

Suffix

Business Name

NICOLE CARMICHAEL MD

Original Issue Date

06/26/2013

Effective Date

06/26/2013

Expiration Date

06/25/2016

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014