NICOLE ANN NELSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113714

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

ANN

Last Name

NELSON

Suffix

Business Name

NICOLE ANN NELSON MD

Original Issue Date

05/18/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

LIMA

State

Zip

45805

Ever Disciplined

LastModifiedDate

11/06/2008