NICOLE TANIA LOWE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101859

License Status

NOT RENEWED

Business

Title

First Name

NICOLE

Middle

TANIA

Last Name

LOWE

Business Name

NICOLE TANIA LOWE MD

Original Issue Date

01/28/2000

Effective Date

05/04/2011

Expiration Date

07/31/2014

City

MAPLE GROVE

State

Zip

55311

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/17/2014