WILLIAM G NULTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

WILLIAM G

Last Name

NULTY

Suffix

Business Name

WILLIAM G NULTY MD

Original Issue Date

06/13/1994

Effective Date

06/13/1994

Expiration Date

07/31/1999

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020