NICOLE HAGHSHENAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

Title

First Name

NICOLE

Last Name

HAGHSHENAS

Business Name

NICOLE HAGHSHENAS MD

Original Issue Date

08/19/2022

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023