NICOLE E MENEGAKIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

NICOLE E

Last Name

MENEGAKIS

Suffix

Business Name

NICOLE E MENEGAKIS MD

Original Issue Date

05/22/1995

Effective Date

05/22/1995

Expiration Date

07/31/2002

City

DEERFIELD

State

Zip

60015

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006