MILTON MCNICHOL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

MILTON

Last Name

MCNICHOL

Suffix

Business Name

MILTON MCNICHOL MD

Original Issue Date

11/27/2007

Effective Date

07/30/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011