NANCY JEAN SHORT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

First Name

NANCY

Middle

JEAN

Last Name

SHORT

Suffix

Business Name

NANCY JEAN SHORT MD

Original Issue Date

07/31/2000

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023