JACQUELINE WYNNE NICHOLS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

Title

First Name

JACQUELINE

Middle

WYNNE

Last Name

NICHOLS

Business Name

JACQUELINE WYNNE NICHOLS MD

Original Issue Date

08/21/2023

Effective Date

08/21/2023

Expiration Date

07/31/2026

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026