NICOLE MARIE PADILLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

Title

First Name

NICOLE

Middle

MARIE

Last Name

PADILLA

Business Name

NICOLE MARIE PADILLA MD

Original Issue Date

08/21/2017

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

FOREST PARK

State

Zip

60130

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023