NICOLE NASH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073765

License Status

EXPIRED

Business

Title

First Name

NICOLE

Last Name

NASH

Business Name

NICOLE NASH MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2020

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Sports Medicine (Family Practice)

Ever Disciplined

LastModifiedDate

11/19/2020