CHRISTINA BEA NULTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

CHRISTINA BEA

Last Name

NULTY

Suffix

Business Name

CHRISTINA BEA NULTY MD

Original Issue Date

12/29/2015

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

TREMONT

State

Zip

61568

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021