EDWARD G NICHOLSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

EDWARD G

Last Name

NICHOLSON

Suffix

Business Name

EDWARD G NICHOLSON DO

Original Issue Date

01/01/1997

Effective Date

08/01/2014

Expiration Date

07/31/2017

City

FLOSSMOOR

State

Zip

60422

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017