CHARLES A NOZICKA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

First Name

CHARLES

Middle

Last Name

NOZICKA

Suffix

Business Name

CHARLES A NOZICKA DO

Original Issue Date

01/23/1984

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023