NICHOLAS JOSEPH ABRAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

Title

First Name

NICHOLAS

Middle

JOSEPH

Last Name

ABRAM

Business Name

NICHOLAS JOSEPH ABRAM MD

Original Issue Date

07/19/2012

Effective Date

07/19/2012

Expiration Date

07/31/2014

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014