NICHOLAS P KONDELIS MD Medical Doctor License verification

Business Entity

CLOSED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

CLOSED

Business

First Name

NICHOLAS P

Last Name

KONDELIS

Suffix

Business Name

NICHOLAS P KONDELIS MD

Original Issue Date

03/25/2009

Effective Date

06/24/2011

Expiration Date

07/31/2014

City

ADDISON

State

Zip

60101

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020