GARRETT K NI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

Title

First Name

GARRETT

Middle

Last Name

Business Name

GARRETT K NI MD

Original Issue Date

07/03/2025

Effective Date

07/03/2025

Expiration Date

07/31/2026

City

LOS ANGELES

State

Zip

90024

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2025