NICHOLAS ANTHONY IAFE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

ANTHONY

Last Name

IAFE

Business Name

NICHOLAS ANTHONY IAFE MD

Original Issue Date

07/25/2023

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023