GLENN ALLEN NANNEY JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

ACTIVE

Business

Title

First Name

GLENN

Middle

ALLEN

Last Name

NANNEY JR

Business Name

GLENN ALLEN NANNEY JR MD

Original Issue Date

12/21/2022

Effective Date

07/02/2023

Expiration Date

07/31/2026

City

PRINCETON

State

Zip

47670

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/02/2023