JEFFREY RYAN NICHOLS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

Title

First Name

JEFFREY

Middle

RYAN

Last Name

NICHOLS

Business Name

JEFFREY RYAN NICHOLS DO

Original Issue Date

10/11/2017

Effective Date

10/07/2024

Expiration Date

07/31/2026

City

JANESVILLE

State

Zip

53548

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/07/2024