HEIDI AZMY NICOLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

Title

First Name

HEIDI

Middle

AZMY

Last Name

NICOLA

Business Name

HEIDI AZMY NICOLA MD

Original Issue Date

09/20/2012

Effective Date

09/20/2012

Expiration Date

07/31/2014

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020