LYNN MCNICOLL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098930

License Status

INACTIVE

Business

First Name

LYNN

Last Name

MCNICOLL

Suffix

Business Name

LYNN MCNICOLL MD

Original Issue Date

08/28/1998

Effective Date

08/28/1998

Expiration Date

07/31/2002

City

NEW HAVEN

State

Zip

06504

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

10/09/2006