NICOLE ANN MASSOLL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138449

License Status

ACTIVE

Business

Title

First Name

NICOLE

Middle

ANN

Last Name

MASSOLL

Business Name

NICOLE ANN MASSOLL MD

Original Issue Date

06/25/2015

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

LITTLE ROCK

State

Zip

72205

County

PULASKI

Ever Disciplined

LastModifiedDate

04/11/2025