NICOLE RUNKLE 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

Title

First Name

NICOLE

Last Name

RUNKLE

Business Name

NICOLE RUNKLE MD

Original Issue Date

07/06/2023

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023