NIDA NAEEM KHAN FELLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

Title

First Name

NIDA NAEEM

Middle

KHAN

Last Name

FELLER

Business Name

NIDA NAEEM KHAN FELLER MD

Original Issue Date

05/14/2021

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2023