NICHOLAS RAY FLORENCE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151532

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

RAY

Last Name

FLORENCE

Business Name

NICHOLAS RAY FLORENCE MD

Original Issue Date

01/10/2020

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/08/2023