SHAMECKA NICOLA EDWARDS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

Title

First Name

SHAMECKA

Middle

NICOLA

Last Name

EDWARDS

Business Name

SHAMECKA NICOLA EDWARDS MD

Original Issue Date

04/21/2016

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60617

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023