NICHOLAS RYAN MASSE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

RYAN

Last Name

MASSE

Suffix

Business Name

NICHOLAS RYAN MASSE MD

Original Issue Date

10/12/2021

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023