NICOLAS ANDRE CASTELLANO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

Title

First Name

NICOLAS

Middle

ANDRE

Last Name

CASTELLANO

Business Name

NICOLAS ANDRE CASTELLANO MD

Original Issue Date

11/05/2020

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

GRANITE CITY

State

Zip

62040

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023