NICHOLAS IAN KIRCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153787

License Status

NOT RENEWED

Business

Title

First Name

NICHOLAS

Middle

IAN

Last Name

KIRCH

Business Name

NICHOLAS IAN KIRCH MD

Original Issue Date

07/21/2020

Effective Date

07/21/2020

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/30/2023