FREDERICA JO NANNI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

FREDERICA

Middle

Last Name

NANNI

Suffix

Business Name

FREDERICA JO NANNI MD

Original Issue Date

09/03/2003

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

CHRISTOPHER

State

Zip

62822

County

FRANKLIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021