TRENT W NICHOLS JR MD - Medical Doctor License in Pennsylvania | # 036050396

TRENT W NICHOLS JR MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050396

License Status

INACTIVE

Business

N

First Name

TRENT W

Last Name

NICHOLS JR

Suffix

MD

Business Name

TRENT W NICHOLS JR MD

Original Issue Date

11/26/1974

Effective Date

11/26/1974

Expiration Date

07/31/1987

State

PA

Ever Disciplined

N

LastModifiedDate

09/26/2007