SUSAN NICKEL TRIMBLE Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

CANCELLED

Business

First Name

SUSAN NICKEL

Last Name

TRIMBLE

Business Name

SUSAN NICKEL TRIMBLE

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

BARRINGTON

State

Zip

60010

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/09/2006