NICOLE KATHRYN SCRIPSEMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

Title

First Name

NICOLE

Middle

KATHRYN

Last Name

SCRIPSEMA

Business Name

NICOLE KATHRYN SCRIPSEMA MD

Original Issue Date

05/08/2018

Effective Date

05/08/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021