CHRISTOPHER DAVID NICHOLAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

Title

First Name

CHRISTOPHER

Middle

DAVID

Last Name

NICHOLAS

Business Name

CHRISTOPHER DAVID NICHOLAS MD

Original Issue Date

02/01/2005

Effective Date

02/01/2005

Expiration Date

07/31/2008

City

QUINCY

State

Zip

52305

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020