NICOLE LEIGH LUNCEFORD DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126972

License Status

INACTIVE

Business

Title

First Name

NICOLE

Middle

LEIGH

Last Name

LUNCEFORD

Business Name

NICOLE LEIGH LUNCEFORD DO

Original Issue Date

12/13/2010

Effective Date

04/21/2011

Expiration Date

07/31/2014

City

SAN DIEGO

State

Zip

92103

Ever Disciplined

LastModifiedDate

04/08/2014