IRIDA NIKOLLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062274

License Status

CANCELLED

Business

Title

First Name

IRIDA

Last Name

NIKOLLA

Business Name

IRIDA NIKOLLA MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

MUNSTER

State

Zip

46321

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/24/2014