NICOLE MICHELLE CHICKRIS-BOLLAERT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

Title

First Name

NICOLE

Middle

MICHELLE

Last Name

CHICKRIS-BOLLAERT

Business Name

NICOLE MICHELLE CHICKRIS-BOLLAERT MD

Original Issue Date

08/15/2012

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023