NICOLE ELIZABETH PRENTICE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001195

License Status

EXPIRED

Business

Title

First Name

NICOLE

Middle

ELIZABETH

Last Name

PRENTICE

Business Name

NICOLE ELIZABETH PRENTICE DO

Original Issue Date

12/18/2017

Effective Date

12/18/2017

Expiration Date

01/17/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Geriatric Medicine

Ever Disciplined

LastModifiedDate

04/10/2018