WANDA KAY TERRY-NICHOLS 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

Title

First Name

WANDA

Middle

KAY

Last Name

TERRY-NICHOLS

Business Name

WANDA KAY TERRY-NICHOLS MD

Original Issue Date

05/11/2021

Effective Date

11/07/2023

Expiration Date

07/31/2026

City

HARVARD

State

Zip

60033

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/07/2023