HEATHER NIZHONII KINSEL-EVANS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

Title

First Name

HEATHER

Middle

NIZHONII

Last Name

KINSEL-EVANS

Business Name

HEATHER NIZHONII KINSEL-EVANS MD

Original Issue Date

05/15/2019

Effective Date

08/12/2020

Expiration Date

07/31/2023

City

ROBINSON

State

Zip

62454

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023