DAVID J NYQUIST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

NYQUIST

Suffix

Business Name

DAVID J NYQUIST MD

Original Issue Date

03/17/1988

Effective Date

03/17/1988

Expiration Date

07/31/1996

City

ROCHELLE

State

Zip

61068

County

OGLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020