NICHOLAS RAY FLORENCE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

RAY

Last Name

FLORENCE

Business Name

NICHOLAS RAY FLORENCE MD

Original Issue Date

03/12/2020

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023