NICOLA CORVAJA MD 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

NICOLA

Last Name

CORVAJA

Business Name

NICOLA CORVAJA MD

Original Issue Date

12/15/2022

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/26/2023