NICKLAS ROBERT PFANZELTER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

Title

First Name

NICKLAS

Middle

ROBERT

Last Name

PFANZELTER

Business Name

NICKLAS ROBERT PFANZELTER MD

Original Issue Date

08/27/2013

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023