TIMOTHY NELSON MERRILL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

First Name

TIMOTHY NELSON

Last Name

MERRILL

Suffix

Business Name

TIMOTHY NELSON MERRILL MD

Original Issue Date

01/01/1997

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023