NANCY IMMACULA JOSEPH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

NANCY

Middle

IMMACULA

Last Name

JOSEPH

Business Name

NANCY IMMACULA JOSEPH DO

Original Issue Date

07/29/2025

Effective Date

07/29/2025

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/14/2025