JENNIFER LYNN NICHOLAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118741

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LYNN

Last Name

NICHOLAS

Suffix

Business Name

JENNIFER LYNN NICHOLAS MD

Original Issue Date

06/18/2007

Effective Date

07/05/2018

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

01/14/2021