ADAM MICHAEL NICHOLSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

Title

First Name

ADAM

Middle

MICHAEL

Last Name

NICHOLSON

Business Name

ADAM MICHAEL NICHOLSON MD

Original Issue Date

04/22/2010

Effective Date

06/02/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60642

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014