NICHOLAS WILLIAM DEKORVER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

WILLIAM

Last Name

DEKORVER

Business Name

NICHOLAS WILLIAM DEKORVER MD

Original Issue Date

08/20/2025

Effective Date

08/20/2025

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63109

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/12/2025