BRONTIE NICOLE HERRERA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078938

License Status

CANCELLED

Business

Title

First Name

BRONTIE

Middle

NICOLE

Last Name

HERRERA

Business Name

BRONTIE NICOLE HERRERA DO

Original Issue Date

06/28/2021

Effective Date

06/28/2021

Expiration Date

06/27/2024

City

GLENVIEW

State

Zip

60026

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/29/2021