CANDACE ESTHER NALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

Title

First Name

CANDACE

Middle

ESTHER

Last Name

NALL

Business Name

CANDACE ESTHER NALL MD

Original Issue Date

04/24/2017

Effective Date

08/06/2020

Expiration Date

07/31/2023

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023