NICHOLAS C BRISSEY Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****98

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

Last Name

BRISSEY

Business Name

NICHOLAS C BRISSEY

Original Issue Date

10/09/2020

Effective Date

01/31/2025

Expiration Date

01/31/2027

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025