NICHOLAS EARNEST POULOS MD - Medical Doctor License in Missouri | # 036115133

NICHOLAS EARNEST POULOS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115133

License Status

NOT RENEWED

Business

N

First Name

NICHOLAS

Middle

EARNEST

Last Name

POULOS

Suffix

MD

Business Name

NICHOLAS EARNEST POULOS MD

Original Issue Date

01/20/2006

Effective Date

06/23/2020

Expiration Date

07/31/2023

State

MO

Ever Disciplined

N

LastModifiedDate

11/30/2023