JENNIFER LYNN NICHOLAS MD - Medical Doctor License in Missouri | # 125048896

JENNIFER LYNN NICHOLAS MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048896

License Status

EXPIRED

Business

N

First Name

JENNIFER

Middle

LYNN

Last Name

NICHOLAS

Suffix

MD

Business Name

JENNIFER LYNN NICHOLAS MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

State

MO

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

07/31/2008