NIKKI LYNN NEUBAUER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

Title

First Name

NIKKI

Middle

LYNN

Last Name

NEUBAUER

Business Name

NIKKI LYNN NEUBAUER MD

Original Issue Date

01/13/2009

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023