TERRY L NICOLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

First Name

TERRY L

Last Name

NICOLA

Suffix

Business Name

TERRY L NICOLA MD

Original Issue Date

07/11/1985

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2023