JOEL RAYMOND NILLES DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

First Name

JOEL

Middle

RAYMOND

Last Name

NILLES

Suffix

Business Name

JOEL RAYMOND NILLES DO

Original Issue Date

10/16/1998

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023