NICOLE GEORGANN VICCARI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

Title

First Name

NICOLE

Middle

GEORGANN

Last Name

VICCARI

Business Name

NICOLE GEORGANN VICCARI MD

Original Issue Date

03/31/2023

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023