NICHOLAS JOSEPH SPEZIALE 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

NICHOLAS JOSEPH

Last Name

SPEZIALE

Suffix

Business Name

NICHOLAS JOSEPH SPEZIALE MD

Original Issue Date

07/28/2008

Effective Date

07/24/2014

Expiration Date

07/31/2017

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020