NICOLAS RICARDO CHIRIBOGA SALAZAR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077445

License Status

EXPIRED

Business

Title

First Name

NICOLAS

Middle

RICARDO

Last Name

CHIRIBOGA SALAZAR

Business Name

NICOLAS RICARDO CHIRIBOGA SALAZAR MD

Original Issue Date

07/08/2021

Effective Date

07/08/2021

Expiration Date

07/07/2022

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Neurocritical Care

Ever Disciplined

LastModifiedDate

10/11/2022