VICTORIA BROCKSMITH NICKSIC MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

Title

First Name

VICTORIA

Middle

BROCKSMITH

Last Name

NICKSIC

Business Name

VICTORIA BROCKSMITH NICKSIC MD

Original Issue Date

06/06/2025

Effective Date

06/06/2025

Expiration Date

07/31/2026

City

MADISON

State

Zip

53792

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2025