NICOLE ALEXANDRA HRISTAKOS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076347

License Status

CANCELLED

Business

Title

First Name

NICOLE

Middle

ALEXANDRA

Last Name

HRISTAKOS

Business Name

NICOLE ALEXANDRA HRISTAKOS DO

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2023

City

CHICAGO

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/29/2020