NICOLE VICTORIA CHRISTIAN-BRATHWAITE MD 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

VICTORIA

Last Name

CHRISTIAN-BRATHWAITE

Business Name

NICOLE VICTORIA CHRISTIAN-BRATHWAITE MD

Original Issue Date

08/07/2019

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2023