NICOLE LYNN PHELPS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

Title

First Name

NICOLE

Middle

LYNN

Last Name

PHELPS

Business Name

NICOLE LYNN PHELPS DO

Original Issue Date

03/26/2019

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

OSWEGO

State

Zip

60543

County

KENDALL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2023