NICOLE A FLORENCE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

FLORENCE

Suffix

Business Name

NICOLE A FLORENCE MD

Original Issue Date

05/05/1999

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023