NIKOL L MCDONALD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130714

License Status

NOT RENEWED

Business

Title

First Name

NIKOL

Middle

Last Name

MCDONALD

Business Name

NIKOL L MCDONALD MD

Original Issue Date

07/03/2012

Effective Date

04/16/2014

Expiration Date

07/31/2017

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

11/01/2017