NICOLE M WITTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

WITTE

Suffix

Business Name

NICOLE M WITTE MD

Original Issue Date

07/28/2004

Effective Date

05/27/2008

Expiration Date

07/31/2011

City

ST CHARLES

State

Zip

60174

County

KANE

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/10/2011