NICOLE TANIA LOWE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

Title

First Name

NICOLE

Middle

TANIA

Last Name

LOWE

Business Name

NICOLE TANIA LOWE MD

Original Issue Date

11/02/2009

Effective Date

11/02/2009

Expiration Date

07/31/2011

City

HIGHLAND

State

Zip

62249

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011