NICHOLAS ALAN SHEPARD MD - Medical Doctor License in New York | # 036152449

NICHOLAS ALAN SHEPARD MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152449

License Status

NOT RENEWED

Business

N

Title

MD

First Name

NICHOLAS

Middle

ALAN

Last Name

SHEPARD

Business Name

NICHOLAS ALAN SHEPARD MD

Original Issue Date

04/03/2020

Effective Date

04/03/2020

Expiration Date

07/31/2023

State

NY

Ever Disciplined

N

LastModifiedDate

11/30/2023