NICHOLAS MICHAEL WEBER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155087

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

MICHAEL

Last Name

WEBER

Business Name

NICHOLAS MICHAEL WEBER DO

Original Issue Date

12/22/2020

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/15/2023