ALAN R NICHOLS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079643

License Status

INACTIVE

Business

First Name

ALAN R

Last Name

NICHOLS

Suffix

Business Name

ALAN R NICHOLS MD

Original Issue Date

12/30/1989

Effective Date

07/07/2011

Expiration Date

07/31/2014

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

04/08/2014