NICOLE ANN HARTSOUGH MD Medical Doctor License verification

NICOLE ANN HARTSOUGH MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

Title

First Name

NICOLE

Middle

ANN

Last Name

HARTSOUGH

Business Name

NICOLE ANN HARTSOUGH MD

Original Issue Date

01/01/1997

Effective Date

09/14/2020

Expiration Date

07/31/2023

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

11/30/2023

Case Number

2007000406

Action

Probation

Discipline Start Date

05/20/2008

Discipline End Date

05/19/2010

Discipline Reason

Unprofessional conduct, prescribing controlled substances for non-therapeutic purposes and controlled substance violations.