ANTHONY A NIDEA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

First Name

ANTHONY A

Last Name

NIDEA

Suffix

Business Name

ANTHONY A NIDEA MD

Original Issue Date

04/14/1992

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023