SARAH MARIE NISIVACO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166044

License Status

ACTIVE

Business

Title

First Name

SARAH

Middle

MARIE

Last Name

NISIVACO

Business Name

SARAH MARIE NISIVACO MD

Original Issue Date

07/20/2023

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

02/19/2026