RICHARD DEAN NICHOLS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108245

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

DEAN

Last Name

NICHOLS

Suffix

Business Name

RICHARD DEAN NICHOLS MD

Original Issue Date

12/03/2002

Effective Date

12/03/2002

Expiration Date

07/31/2005

City

BASTROP

State

Zip

71220

County

LOUISIANA

Ever Disciplined

LastModifiedDate

10/09/2006