ALISA LOUISE NIKSCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

ALISA

Middle

LOUISE

Last Name

NIKSCH

Suffix

Business Name

ALISA LOUISE NIKSCH MD

Original Issue Date

08/09/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011