WARREN RUSSELL NICKERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036095

License Status

NOT RENEWED

Business

First Name

WARREN RUSSELL

Last Name

NICKERSON

Suffix

Business Name

WARREN RUSSELL NICKERSON MD

Original Issue Date

09/09/1959

Effective Date

09/09/1959

City

STOUGHTON

State

Zip

02072

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006