NICOLE A BISKUP Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

BISKUP

Business Name

NICOLE A BISKUP

Original Issue Date

02/19/2002

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

FRANKFORT

State

Zip

60423

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023