NICHOLAS JOHN MANOLITSIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

JOHN

Last Name

MANOLITSIS

Business Name

NICHOLAS JOHN MANOLITSIS MD

Original Issue Date

11/05/2020

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023