ALLAN DOUGLAS NANNEY III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

Title

First Name

ALLAN

Middle

DOUGLAS

Last Name

NANNEY

Suffix

III

Business Name

ALLAN DOUGLAS NANNEY III MD

Original Issue Date

05/30/2012

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

BOULDER

State

Zip

80304

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021