NICOLE TANIA LOWE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

Title

First Name

NICOLE

Middle

TANIA

Last Name

LOWE

Business Name

NICOLE TANIA LOWE MD

Original Issue Date

02/17/2000

Effective Date

05/19/2011

Expiration Date

07/31/2014

City

GLEN CARBON

State

Zip

62034

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014