NICOLE STACEY PAVLATOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119840

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

STACEY

Last Name

PAVLATOS

Suffix

Business Name

NICOLE STACEY PAVLATOS MD

Original Issue Date

12/14/2007

Effective Date

07/28/2014

Expiration Date

07/31/2017

City

RENO

State

Zip

89509

County

NEVADA

Ever Disciplined

LastModifiedDate

11/01/2017