KALVIN LADELLE NATHANIEL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

Title

First Name

KALVIN

Middle

LADELLE

Last Name

NATHANIEL

Business Name

KALVIN LADELLE NATHANIEL DO

Original Issue Date

04/21/2024

Effective Date

04/21/2024

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62521

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026