NICHOLAS JAMES NISSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

JAMES

Last Name

NISSEN

Business Name

NICHOLAS JAMES NISSEN MD

Original Issue Date

11/13/2025

Effective Date

11/13/2025

Expiration Date

07/31/2026

City

AUSTIN

State

Zip

78731

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/13/2025