NICHOLAS LOUIS MENCER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

LOUIS

Last Name

MENCER

Business Name

NICHOLAS LOUIS MENCER DO

Original Issue Date

01/07/2025

Effective Date

01/07/2025

Expiration Date

07/31/2026

City

TAMPA

State

Zip

33610

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/12/2024