MELANIE RENEE NUKALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

Title

First Name

MELANIE

Middle

RENEE

Last Name

NUKALA

Business Name

MELANIE RENEE NUKALA MD

Original Issue Date

05/10/2019

Effective Date

05/29/2020

Expiration Date

07/31/2023

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023