NICOLE LYNN CALDWELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136225

License Status

NOT RENEWED

Business

Title

First Name

NICOLE

Middle

LYNN

Last Name

CALDWELL

Business Name

NICOLE LYNN CALDWELL MD

Original Issue Date

08/12/2014

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

MONTPELIER

State

Zip

83254

County

IDAHO

Ever Disciplined

LastModifiedDate

01/14/2021