NICHOLAS J NIKITAS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

First Name

NICHOLAS J

Last Name

NIKITAS

Business Name

NICHOLAS J NIKITAS

Original Issue Date

01/09/1995

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023