NIC IONUT HRISTEA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

Title

First Name

NIC

Middle

IONUT

Last Name

HRISTEA

Business Name

NIC IONUT HRISTEA MD

Original Issue Date

01/28/2002

Effective Date

01/28/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020