NICOLE MARIE PADILLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

Title

First Name

NICOLE

Middle

MARIE

Last Name

PADILLA

Business Name

NICOLE MARIE PADILLA MD

Original Issue Date

05/20/2016

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021