NICOLE CATHERINE DEPTULA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

Title

First Name

NICOLE

Middle

CATHERINE

Last Name

DEPTULA

Business Name

NICOLE CATHERINE DEPTULA MD

Original Issue Date

05/10/2016

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023