CHAIM LEIB BETZALEL NISSEL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

Title

First Name

CHAIM

Middle

LEIB BETZALEL

Last Name

NISSEL

Business Name

CHAIM LEIB BETZALEL NISSEL DO

Original Issue Date

12/12/2025

Effective Date

12/12/2025

Expiration Date

07/31/2026

City

GILMAN

State

Zip

60938

County

IROQUOIS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/12/2025