GINGER ELLEN NICOL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158943

License Status

ACTIVE

Business

Title

First Name

GINGER

Middle

ELLEN

Last Name

NICOL

Business Name

GINGER ELLEN NICOL MD

Original Issue Date

12/09/2021

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

05/06/2023