NICKOLA NOVOSEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

NICKOLA

Last Name

NOVOSEL

Suffix

Business Name

NICKOLA NOVOSEL MD

Original Issue Date

01/01/1997

Effective Date

06/01/2011

Expiration Date

07/31/2014

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014