ALAN R NICHOLS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

ALAN R

Last Name

NICHOLS

Suffix

Business Name

ALAN R NICHOLS MD

Original Issue Date

01/24/1990

Effective Date

07/07/2011

Expiration Date

07/31/2014

City

QUINCY

State

Zip

62305

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014