JENNIFER LYNN NICHOLAS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048896

License Status

EXPIRED

Business

First Name

JENNIFER

Middle

LYNN

Last Name

NICHOLAS

Suffix

Business Name

JENNIFER LYNN NICHOLAS MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

SAINT LOUIS

State

Zip

63110

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

07/31/2008