NICOLE LORENE FYIE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132148

License Status

ACTIVE

Business

Title

First Name

NICOLE

Middle

LORENE

Last Name

FYIE

Business Name

NICOLE LORENE FYIE MD

Original Issue Date

03/28/2013

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

07/15/2023