NICHOLAS JOHN PEACOCK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

JOHN

Last Name

PEACOCK

Business Name

NICHOLAS JOHN PEACOCK DO

Original Issue Date

06/01/2017

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60304

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023