NICOLE JEANETTE SPENCER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

Title

First Name

NICOLE

Middle

JEANETTE

Last Name

SPENCER

Business Name

NICOLE JEANETTE SPENCER MD

Original Issue Date

05/11/2011

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023