NICHOLAS PEREIRA 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

First Name

NICHOLAS

Last Name

PEREIRA

Business Name

NICHOLAS PEREIRA

Original Issue Date

10/09/1996

Effective Date

10/09/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006