NICOLE MARIE DURKO DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

MARIE

Last Name

DURKO

Suffix

Business Name

NICOLE MARIE DURKO DO

Original Issue Date

05/10/2005

Effective Date

06/27/2014

Expiration Date

07/31/2017

City

ST LOUIS

State

Zip

63130

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017