NICHOLE ELIZABETH WIEPERT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

Title

First Name

NICHOLE

Middle

ELIZABETH

Last Name

WIEPERT

Business Name

NICHOLE ELIZABETH WIEPERT MD

Original Issue Date

05/09/2013

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

SYCAMORE

State

Zip

60178

County

DEKALB

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2023