NIKE TSIAPERA BEAUBIER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

Title

First Name

NIKE

Middle

TSIAPERA

Last Name

BEAUBIER

Business Name

NIKE TSIAPERA BEAUBIER MD

Original Issue Date

10/27/2016

Effective Date

10/27/2016

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020