KENT A. NICKELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148445

License Status

ACTIVE

Business

Title

First Name

KENT

Middle

Last Name

NICKELL

Business Name

KENT A. NICKELL MD

Original Issue Date

03/05/2019

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/08/2023