NICOLE A FLORENCE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034118

License Status

EXPIRED

Business

First Name

NICOLE

Middle

Last Name

FLORENCE

Suffix

Business Name

NICOLE A FLORENCE MD

Original Issue Date

05/04/1996

Effective Date

05/04/1996

Expiration Date

06/25/1999

City

SPRIGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/22/2006