NELLEEN G NOACK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

NELLEEN G

Last Name

NOACK

Suffix

Business Name

NELLEEN G NOACK MD

Original Issue Date

07/30/1985

Effective Date

07/30/1985

Expiration Date

07/31/1993

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006