AJSA ANA SOFIJA NIKOLIC MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

Title

First Name

AJSA

Middle

ANA SOFIJA

Last Name

NIKOLIC

Business Name

AJSA ANA SOFIJA NIKOLIC MD

Original Issue Date

12/21/2015

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

MOKENA

State

Zip

60448

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023