NICOLE ALYSSA MEREDYTH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

Title

First Name

NICOLE

Middle

ALYSSA

Last Name

MEREDYTH

Business Name

NICOLE ALYSSA MEREDYTH MD

Original Issue Date

07/11/2023

Effective Date

07/11/2023

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

07/11/2023