NICHOLAS VARALLO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Last Name

VARALLO

Business Name

NICHOLAS VARALLO MD

Original Issue Date

02/10/2022

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

CRESTWOOD

State

Zip

60418

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023