NICHOLAS LANGE MD - Medical Doctor License in California | # 036124672

NICHOLAS LANGE MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124672

License Status

INACTIVE

Business

N

First Name

NICHOLAS

Last Name

LANGE

Suffix

MD

Business Name

NICHOLAS LANGE MD

Original Issue Date

11/30/2009

Effective Date

04/18/2011

Expiration Date

07/31/2014

State

CA

Ever Disciplined

N

LastModifiedDate

04/08/2014