TRENT W NICHOLS JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

TRENT W

Last Name

NICHOLS JR

Suffix

Business Name

TRENT W NICHOLS JR MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006