NICHOLUS VISNICH JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

NICHOLUS

Last Name

VISNICH JR

Suffix

Business Name

NICHOLUS VISNICH JR MD

Original Issue Date

06/05/1992

Effective Date

06/05/1992

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006