VIDAS JONAS NEMICKAS MD 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

VIDAS JONAS

Last Name

NEMICKAS

Suffix

Business Name

VIDAS JONAS NEMICKAS MD

Original Issue Date

05/10/1983

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60606

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023