NICOLE MARIE WYSOCKI 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

NICOLE

Middle

MARIE

Last Name

WYSOCKI

Suffix

Business Name

NICOLE MARIE WYSOCKI MD

Original Issue Date

03/31/2006

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023