NICOLE CHAPPELL ONTIVEROS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

Title

First Name

NICOLE

Middle

CHAPPELL

Last Name

ONTIVEROS

Business Name

NICOLE CHAPPELL ONTIVEROS MD

Original Issue Date

01/10/2025

Effective Date

01/10/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/10/2025