WILLIAM ALLEN NICKERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095016

License Status

NOT RENEWED

Business

First Name

WILLIAM ALLEN

Last Name

NICKERSON

Suffix

Business Name

WILLIAM ALLEN NICKERSON MD

Original Issue Date

03/11/1997

Effective Date

03/11/1997

Expiration Date

07/31/1999

City

WEDDERBURN

State

Zip

97491

County

OREGON

Ever Disciplined

LastModifiedDate

09/20/2006