KIM R NICKELSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065559

License Status

NOT RENEWED

Business

First Name

KIM R

Last Name

NICKELSON

Suffix

Business Name

KIM R NICKELSON MD

Original Issue Date

10/29/1982

Effective Date

05/26/2014

Expiration Date

07/31/2017

City

PLANTATION

State

Zip

33317

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/01/2017