NICOLE MARIE GEISSEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

Title

First Name

NICOLE

Middle

MARIE

Last Name

GEISSEN

Business Name

NICOLE MARIE GEISSEN DO

Original Issue Date

04/23/2013

Effective Date

05/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

MAINE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/14/2023