PETER WARNER NICHOLS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

PETER

Middle

WARNER

Last Name

NICHOLS

Suffix

Business Name

PETER WARNER NICHOLS MD

Original Issue Date

07/30/2007

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/25/2023