NIRMALA CAROLINE NICHOLAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098064

License Status

NOT RENEWED

Business

First Name

NIRMALA

Middle

CAROLINE

Last Name

NICHOLAS

Suffix

Business Name

NIRMALA CAROLINE NICHOLAS MD

Original Issue Date

06/23/1998

Effective Date

06/23/1998

Expiration Date

07/31/2005

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/09/2006