NICOLE MARIE PEREZ VASQUEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081028

License Status

EXPIRED

Business

Title

First Name

NICOLE

Middle

MARIE

Last Name

PEREZ VASQUEZ

Business Name

NICOLE MARIE PEREZ VASQUEZ MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/03/2025