WILLIAM G NULTY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

First Name

WILLIAM G

Last Name

NULTY

Suffix

Business Name

WILLIAM G NULTY MD

Original Issue Date

05/05/1998

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023