NICOLE WALDEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001512

License Status

EXPIRED

Business

Title

First Name

NICOLE

Last Name

WALDEN

Business Name

NICOLE WALDEN DO

Original Issue Date

01/08/2023

Effective Date

01/08/2023

Expiration Date

02/07/2023

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

03/06/2024