NICOLE ANGELETTE PATINO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

Title

First Name

NICOLE

Middle

ANGELETTE

Last Name

PATINO

Business Name

NICOLE ANGELETTE PATINO MD

Original Issue Date

05/14/2012

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023