NICHOLAS P KONDELIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

First Name

NICHOLAS P

Last Name

KONDELIS

Suffix

Business Name

NICHOLAS P KONDELIS MD

Original Issue Date

12/24/1986

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023