NICOLAS A FORERO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

Title

First Name

NICOLAS

Middle

Last Name

FORERO

Business Name

NICOLAS A FORERO MD

Original Issue Date

03/12/2009

Effective Date

04/21/2011

Expiration Date

07/31/2014

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020