FRANCIS J NICOLOSI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

First Name

FRANCIS J

Last Name

NICOLOSI

Business Name

FRANCIS J NICOLOSI

Original Issue Date

11/02/1988

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/24/2023