ROBERT JOSEPH NICKODEM JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063652

License Status

NOT RENEWED

Business

First Name

ROBERT JOSEPH

Last Name

NICKODEM JR

Suffix

Business Name

ROBERT JOSEPH NICKODEM JR MD

Original Issue Date

12/10/1981

Effective Date

12/10/1981

Expiration Date

07/31/1987

City

MENTOR

State

Zip

44060

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006