NICOLE C P THOMPSON 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

NICOLE

Middle

C P

Last Name

THOMPSON

Business Name

NICOLE C P THOMPSON MD

Original Issue Date

12/01/2015

Effective Date

06/25/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60707

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/25/2023