NICOLE DANIELLE KING MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

First Name

NICOLE

Middle

DANIELLE

Last Name

KING

Suffix

Business Name

NICOLE DANIELLE KING MD

Original Issue Date

06/03/1998

Effective Date

07/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60628

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/16/2023