NICHOLE KATHLEEN LAVANWAY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

Title

First Name

NICHOLE

Middle

KATHLEEN

Last Name

LAVANWAY

Business Name

NICHOLE KATHLEEN LAVANWAY MD

Original Issue Date

02/24/2010

Effective Date

04/16/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60123

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2023