NICHOLAS ANTHONY IAFE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165802

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

ANTHONY

Last Name

IAFE

Business Name

NICHOLAS ANTHONY IAFE MD

Original Issue Date

07/08/2023

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

ST. LOUIS

State

Zip

63144

Ever Disciplined

LastModifiedDate

07/08/2023