NICOLE BONIQUIT LEVY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

Title

First Name

NICOLE

Middle

BONIQUIT

Last Name

LEVY

Business Name

NICOLE BONIQUIT LEVY MD

Original Issue Date

07/26/2016

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

WINFIELD

State

Zip

60190

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023