CANDACE ESTHER NALL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

Title

First Name

CANDACE

Middle

ESTHER

Last Name

NALL

Business Name

CANDACE ESTHER NALL MD

Original Issue Date

06/10/2013

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

BELLEVILLE

State

Zip

62226

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023