NICHOLAS GEORGE SANSONE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121607

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

GEORGE

Last Name

SANSONE

Suffix

Business Name

NICHOLAS GEORGE SANSONE DO

Original Issue Date

07/31/2008

Effective Date

06/29/2011

Expiration Date

07/31/2014

City

WEST LAFAYETTE

State

Zip

47906

County

INDIANA

Ever Disciplined

LastModifiedDate

11/17/2014