NICHOLAS ROBERT GRIECO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

ROBERT

Last Name

GRIECO

Business Name

NICHOLAS ROBERT GRIECO DO

Original Issue Date

06/14/2018

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61636

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023