NICHOLAS M BERTUCCI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153091

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

Last Name

BERTUCCI

Business Name

NICHOLAS M BERTUCCI DO

Original Issue Date

05/20/2020

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

07/13/2023