NITHIN CHARLLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

Title

First Name

NITHIN

Last Name

CHARLLY

Business Name

NITHIN CHARLLY MD

Original Issue Date

05/29/2025

Effective Date

05/29/2025

Expiration Date

07/31/2026

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/29/2025