NICOLE M GASTALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000537

License Status

EXPIRED

Business

Title

First Name

NICOLE

Middle

Last Name

GASTALA

Business Name

NICOLE M GASTALA MD

Original Issue Date

02/01/2013

Effective Date

02/01/2013

Expiration Date

07/31/2013

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/07/2013