DAVID J NYQUIST MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

DAVID

Middle

Last Name

NYQUIST

Suffix

Business Name

DAVID J NYQUIST MD

Original Issue Date

08/27/2001

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

HIGHLAND

State

Zip

62249

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023