MATTHEW K NICKERSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

First Name

MATTHEW K

Last Name

NICKERSON

Suffix

Business Name

MATTHEW K NICKERSON DO

Original Issue Date

07/17/1996

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

STERLING

State

Zip

61081

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023