DAVID R NICHOLSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071607

License Status

NOT RENEWED

Business

First Name

DAVID R

Last Name

NICHOLSON

Suffix

Business Name

DAVID R NICHOLSON MD

Original Issue Date

09/05/1985

Effective Date

09/05/1985

Expiration Date

07/31/1987

City

METAMORA

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

09/20/2006