NICK J RICCARDO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

First Name

NICK J

Last Name

RICCARDO

Suffix

Business Name

NICK J RICCARDO MD

Original Issue Date

02/26/1996

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

LISLE

State

Zip

60532

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2023