JEFFREY M NICHOLAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

JEFFREY M

Last Name

NICHOLAS

Suffix

Business Name

JEFFREY M NICHOLAS MD

Original Issue Date

08/10/1995

Effective Date

08/10/1995

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006