NICOLE D ANANIA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

ANANIA

Suffix

Business Name

NICOLE D ANANIA DO

Original Issue Date

11/30/2018

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

NEW LENOX

State

Zip

60451

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023