NICHOLAS O DAVIDSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074558

License Status

INACTIVE

Business

First Name

NICHOLAS O

Last Name

DAVIDSON

Suffix

Business Name

NICHOLAS O DAVIDSON MD

Original Issue Date

03/02/1987

Effective Date

03/02/1987

Expiration Date

07/31/2002

City

ST. LOUIS

State

Zip

63110

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006