NICOLE LAURIE CONRAD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110873

License Status

INACTIVE

Business

First Name

NICOLE

Middle

LAURIE

Last Name

CONRAD

Suffix

Business Name

NICOLE LAURIE CONRAD MD

Original Issue Date

02/26/2004

Effective Date

04/20/2011

Expiration Date

07/31/2014

City

PARKLAND

State

Zip

33076

Ever Disciplined

LastModifiedDate

07/11/2014