MAISA NAZZAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

Title

First Name

MAISA

Last Name

NAZZAL

Business Name

MAISA NAZZAL MD

Original Issue Date

11/20/2018

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63131

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2023