RICHARD ALLEN NIVALA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041671

License Status

INACTIVE

Business

First Name

RICHARD ALLEN

Last Name

NIVALA

Suffix

Business Name

RICHARD ALLEN NIVALA MD

Original Issue Date

04/26/1968

Effective Date

04/26/1968

Expiration Date

07/31/1987

City

KALAMAZOO

State

Zip

49009

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006