FRANCIS J NICOLOSI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

FRANCIS J

Last Name

NICOLOSI

Business Name

FRANCIS J NICOLOSI

Original Issue Date

12/28/2010

Effective Date

05/27/2011

Expiration Date

07/31/2014

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020