JEFFREY W NICHOLS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

First Name

JEFFREY W

Last Name

NICHOLS

Suffix

Business Name

JEFFREY W NICHOLS MD

Original Issue Date

08/18/2023

Effective Date

08/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026