NICHOLAS A VICK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

CANCELLED

Business

First Name

NICHOLAS A

Last Name

VICK

Suffix

Business Name

NICHOLAS A VICK MD

Original Issue Date

01/01/1997

Effective Date

05/06/2011

Expiration Date

07/31/2014

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014