NICHOLAS J MEYER 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

First Name

NICHOLAS

Middle

Last Name

MEYER

Business Name

NICHOLAS J MEYER

Original Issue Date

07/07/2004

Effective Date

06/20/2011

Expiration Date

07/31/2014

City

JOHNSTON CITY

State

Zip

62951

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014