CANDICE NIKISHA FRASER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155804

License Status

NOT RENEWED

Business

Title

First Name

CANDICE

Middle

NIKISHA

Last Name

FRASER

Business Name

CANDICE NIKISHA FRASER MD

Original Issue Date

02/26/2021

Effective Date

02/26/2021

Expiration Date

07/31/2023

City

NEW YORK

State

Zip

10019

Ever Disciplined

LastModifiedDate

11/30/2023