NICHOLAS C BRISSEY Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

BRISSEY

Business Name

NICHOLAS C BRISSEY

Original Issue Date

10/01/2018

Effective Date

01/15/2023

Expiration Date

01/31/2025

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/21/2026