CHRISTINA BEA NULTY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

First Name

CHRISTINA BEA

Last Name

NULTY

Suffix

Business Name

CHRISTINA BEA NULTY MD

Original Issue Date

07/29/1994

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61790

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023