NICOLE KELLY MOZDEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

First Name

NICOLE

Middle

KELLY

Last Name

MOZDEN

Suffix

Business Name

NICOLE KELLY MOZDEN MD

Original Issue Date

12/12/2006

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023