NICOLE MARIE DAVIS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067566

License Status

EXPIRED

Business

Title

First Name

NICOLE

Middle

MARIE

Last Name

DAVIS

Business Name

NICOLE MARIE DAVIS DO

Original Issue Date

06/22/2015

Effective Date

06/22/2015

Expiration Date

06/21/2016

City

BOSTON

State

Zip

02114

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/16/2016