NICHOLAS DANIEL REYNOLDS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147647

License Status

NOT RENEWED

Business

Title

First Name

NICHOLAS

Middle

DANIEL

Last Name

REYNOLDS

Business Name

NICHOLAS DANIEL REYNOLDS MD

Original Issue Date

10/25/2018

Effective Date

09/14/2020

Expiration Date

07/31/2023

City

LOUISVILLE

State

Zip

40205

Ever Disciplined

LastModifiedDate

11/30/2023