RICHARD E NICOL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

First Name

RICHARD E

Last Name

NICOL

Suffix

Business Name

RICHARD E NICOL MD

Original Issue Date

04/09/1986

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

SPARTA

State

Zip

62286

County

BOND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023