NICO-AL. GOTERA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001427

License Status

EXPIRED

Business

Title

First Name

NICO-AL.

Last Name

GOTERA

Business Name

NICO-AL. GOTERA DO

Original Issue Date

05/02/2022

Effective Date

05/02/2022

Expiration Date

06/01/2022

City

CHICAGO

State

Zip

50401

County

COOK

Specialty/Qualifier

Hematology and Oncology

Ever Disciplined

LastModifiedDate

10/11/2022