NICOLA LOUISE MOORE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

Title

First Name

NICOLA

Middle

LOUISE

Last Name

MOORE

Business Name

NICOLA LOUISE MOORE MD

Original Issue Date

10/10/2023

Effective Date

10/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60602

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/10/2023