NICOLE ALEXANDRA HRISTAKOS 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

NICOLE

Middle

ALEXANDRA

Last Name

HRISTAKOS

Business Name

NICOLE ALEXANDRA HRISTAKOS DO

Original Issue Date

09/02/2022

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/02/2024