MARY H NICHOLSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099441

License Status

INACTIVE

Business

First Name

MARY H

Last Name

NICHOLSON

Suffix

Business Name

MARY H NICHOLSON MD

Original Issue Date

12/29/1998

Effective Date

12/29/1998

Expiration Date

07/31/2002

City

ST JOHN

State

Zip

46373

County

INDIANA

Ever Disciplined

LastModifiedDate

07/20/2011