NICHOLAS JOSEPH SHEA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

JOSEPH

Last Name

SHEA

Suffix

Business Name

NICHOLAS JOSEPH SHEA MD

Original Issue Date

04/30/2009

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60601

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023