NICK HADRIAN GABRIEL DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

Title

First Name

NICK

Middle

HADRIAN

Last Name

GABRIEL

Business Name

NICK HADRIAN GABRIEL DO

Original Issue Date

07/03/2018

Effective Date

07/03/2018

Expiration Date

09/30/2020

City

COTTONWOOD

State

Zip

96022

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021