DAVID WELLINGTON MCNICHOLS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

First Name

DAVID

Middle

WELLINGTON

Last Name

MCNICHOLS

Suffix

Business Name

DAVID WELLINGTON MCNICHOLS MD

Original Issue Date

10/26/2000

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023