NICHOLAS DEAN POULOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086577

License Status

ACTIVE

Business

First Name

NICHOLAS DEAN

Last Name

POULOS

Suffix

Business Name

NICHOLAS DEAN POULOS MD

Original Issue Date

06/23/1993

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

PONTE VEDRA BEACH

State

Zip

32082

Ever Disciplined

LastModifiedDate

06/29/2023