NICOLE MARIE PADILLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064024

License Status

CANCELLED

Business

Title

First Name

NICOLE

Middle

MARIE

Last Name

PADILLA

Business Name

NICOLE MARIE PADILLA MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014