NICOLE MARIE DIGIANNANTONIO DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066800

License Status

EXPIRED

Business

Title

First Name

NICOLE

Middle

MARIE

Last Name

DIGIANNANTONIO

Business Name

NICOLE MARIE DIGIANNANTONIO DO

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

10/25/2018