RONALD LEE NICHOLS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

RONALD LEE

Last Name

NICHOLS

Suffix

Business Name

RONALD LEE NICHOLS MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020