NICCOLE ANN BART 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

Title

First Name

NICCOLE

Middle

ANN

Last Name

BART

Business Name

NICCOLE ANN BART MD

Original Issue Date

04/11/2016

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

ST CHARLES

State

Zip

60175

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/26/2023