DENYCE MICHELLE NICHOLS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

DENYCE

Middle

MICHELLE

Last Name

NICHOLS

Suffix

Business Name

DENYCE MICHELLE NICHOLS MD

Original Issue Date

07/23/2009

Effective Date

07/18/2017

Expiration Date

09/30/2020

City

ORLANDO

State

Zip

32835

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021