NICOLE MICHELLE F MONTES CORKERY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

ACTIVE

Business

Title

First Name

NICOLE MICHELLE

Middle

Last Name

MONTES CORKERY

Business Name

NICOLE MICHELLE F MONTES CORKERY MD

Original Issue Date

07/08/2020

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023