VICTORIA R NICHOLS-JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046573

License Status

ACTIVE

Business

First Name

VICTORIA

Middle

Last Name

NICHOLS-JOHNSON

Suffix

Business Name

VICTORIA R NICHOLS-JOHNSON MD

Original Issue Date

10/20/1972

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62791

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/12/2023