NICOLE S PILZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113116

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

PILZ

Business Name

NICOLE S PILZ

Original Issue Date

02/22/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ANN ARBOR

State

Zip

48103

Ever Disciplined

LastModifiedDate

11/06/2008