NICHOLE SUZANNE LUPEI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

Title

First Name

NICHOLE

Middle

SUZANNE

Last Name

LUPEI

Business Name

NICHOLE SUZANNE LUPEI DO

Original Issue Date

02/01/2012

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023