LESTER L NIDER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

LESTER L

Last Name

NIDER

Suffix

Business Name

LESTER L NIDER MD

Original Issue Date

03/28/1985

Effective Date

07/30/2008

Expiration Date

07/31/2011

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020