NICHOLAS ROSSI MD 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

Last Name

ROSSI

Business Name

NICHOLAS ROSSI MD

Original Issue Date

02/09/2019

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

HOPEDALE

State

Zip

61747

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023