PETER WARNER NICHOLS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

PETER

Middle

WARNER

Last Name

NICHOLS

Suffix

Business Name

PETER WARNER NICHOLS MD

Original Issue Date

05/30/2007

Effective Date

05/30/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020