NICOLE ANN HARTSOUGH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059124

License Status

NOT RENEWED

Business

Title

First Name

NICOLE

Middle

ANN

Last Name

HARTSOUGH

Business Name

NICOLE ANN HARTSOUGH MD

Original Issue Date

08/20/1979

Effective Date

09/14/2020

Expiration Date

07/31/2023

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/30/2023

Case Number

2007000406

Action

Fine

Discipline Start Date

05/20/2008

Discipline Reason

Unprofessional conduct, prescribing controlled substances for non-therapeutic purposes and controlled substance violations.