NICHOLAS COMARDELLE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082639

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Last Name

COMARDELLE

Business Name

NICHOLAS COMARDELLE MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Neurosurgery Fellowship

Ever Disciplined

LastModifiedDate

05/15/2023