MICHAEL JOHN NOMMENSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

JOHN

Last Name

NOMMENSEN

Business Name

MICHAEL JOHN NOMMENSEN MD

Original Issue Date

03/22/2012

Effective Date

03/22/2012

Expiration Date

07/31/2014

City

HINCKLEY

State

Zip

60520

County

DEKALB

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014