KATHLEEN MARGARET NILLES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

MARGARET

Last Name

NILLES

Suffix

Business Name

KATHLEEN MARGARET NILLES MD

Original Issue Date

06/02/2011

Effective Date

06/11/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

6061

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021