NICHOLAS J MEYER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036360

License Status

EXPIRED

Business

First Name

NICHOLAS

Middle

Last Name

MEYER

Business Name

NICHOLAS J MEYER

Original Issue Date

05/29/1997

Effective Date

05/29/1997

Expiration Date

06/30/2000

City

CARBNDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006