NICHOLAS F FURTADO 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

NICHOLAS

Middle

Last Name

FURTADO

Business Name

NICHOLAS F FURTADO

Original Issue Date

05/18/2004

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021