NICOLE M JEDLICKA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****34

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

JEDLICKA

Business Name

NICOLE M JEDLICKA

Original Issue Date

11/21/2013

Effective Date

01/05/2023

Expiration Date

01/31/2025

City

GALENA

State

Zip

61036

County

JO DAVIESS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/21/2026