PRITI VIJAY NIKTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

PRITI

Middle

VIJAY

Last Name

NIKTE

Suffix

Business Name

PRITI VIJAY NIKTE MD

Original Issue Date

09/12/2011

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021