SHANICKA NATE WILLIAMS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128645

License Status

NOT RENEWED

Business

First Name

SHANICKA

Middle

NATE

Last Name

WILLIAMS

Suffix

Business Name

SHANICKA NATE WILLIAMS MD

Original Issue Date

07/28/2011

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

SACRAMENTO

State

Zip

95841

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021