MARTHA KENYON NICHOLSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101541

License Status

NOT RENEWED

Business

First Name

MARTHA

Middle

KENYON

Last Name

NICHOLSON

Suffix

Business Name

MARTHA KENYON NICHOLSON MD

Original Issue Date

10/27/1999

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SAN FRANCISCO

State

Zip

94129

Ever Disciplined

LastModifiedDate

11/06/2008