CHRISTOPHER DAVID NICHOLAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112938

License Status

NOT RENEWED

Business

Title

First Name

CHRISTOPHER

Middle

DAVID

Last Name

NICHOLAS

Business Name

CHRISTOPHER DAVID NICHOLAS MD

Original Issue Date

01/21/2005

Effective Date

06/17/2020

Expiration Date

07/31/2023

City

WEST BURLINGTON

State

Zip

52655

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/30/2023