NICOLE ABBOT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066456

License Status

EXPIRED

Business

Title

First Name

NICOLE

Last Name

ABBOT

Business Name

NICOLE ABBOT MD

Original Issue Date

06/26/2018

Effective Date

06/26/2018

Expiration Date

06/25/2020

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine/Psychiatry

Ever Disciplined

LastModifiedDate

11/19/2020