NICHOLAS MICHAEL WEBER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

MICHAEL

Last Name

WEBER

Business Name

NICHOLAS MICHAEL WEBER DO

Original Issue Date

01/05/2021

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023