W JOHN NICHOLAS MD - Medical Doctor License in Wyoming | # 036067386

W JOHN NICHOLAS MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067386

License Status

INACTIVE

Business

N

First Name

W JOHN

Last Name

NICHOLAS

Suffix

MD

Business Name

W JOHN NICHOLAS MD

Original Issue Date

08/26/1983

Effective Date

08/26/1983

Expiration Date

07/31/1987

State

WY

Ever Disciplined

N

LastModifiedDate

09/20/2006