NICHOLAS STEPHEN VENTURELLI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074375

License Status

EXPIRED

Business

Title

First Name

NICHOLAS

Middle

STEPHEN

Last Name

VENTURELLI

Business Name

NICHOLAS STEPHEN VENTURELLI MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2022

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/11/2022