NICHOLAS P KONDELIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

CANCELLED

Business

First Name

NICHOLAS P

Last Name

KONDELIS

Suffix

Business Name

NICHOLAS P KONDELIS MD

Original Issue Date

07/15/2014

Effective Date

07/15/2014

Expiration Date

07/31/2017

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020