GREGORY K NELLIGAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

First Name

GREGORY

Middle

Last Name

NELLIGAN

Suffix

Business Name

GREGORY K NELLIGAN MD

Original Issue Date

09/13/1984

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

VENICE

State

Zip

34293

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2023