NICOLE N LUGO SANTIAGO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070751

License Status

EXPIRED

Business

Title

First Name

NICOLE

Middle

Last Name

LUGO SANTIAGO

Business Name

NICOLE N LUGO SANTIAGO MD

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

10/11/2022