NICOLE BETENIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152957

License Status

ACTIVE

Business

Title

First Name

NICOLE

Last Name

BETENIA

Business Name

NICOLE BETENIA MD

Original Issue Date

05/12/2020

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

SAN RAFAEL

State

Zip

94901

Ever Disciplined

LastModifiedDate

04/11/2023