NIRMALA CAROLINE NICHOLAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

NIRMALA

Middle

CAROLINE

Last Name

NICHOLAS

Suffix

Business Name

NIRMALA CAROLINE NICHOLAS MD

Original Issue Date

07/21/1998

Effective Date

07/21/1998

Expiration Date

07/31/2005

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006