NICHOLAS MATTHEW FURIASSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

Title

First Name

NICHOLAS

Middle

MATTHEW

Last Name

FURIASSE

Business Name

NICHOLAS MATTHEW FURIASSE MD

Original Issue Date

04/07/2011

Effective Date

06/27/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021