NICOLE KARIN KLEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

KARIN

Last Name

KLEIN

Suffix

Business Name

NICOLE KARIN KLEIN MD

Original Issue Date

11/22/2006

Effective Date

11/22/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008