NICHOLAS JAMES NISSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036174143

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

JAMES

Last Name

NISSEN

Business Name

NICHOLAS JAMES NISSEN MD

Original Issue Date

03/12/2025

Effective Date

03/12/2025

Expiration Date

07/31/2026

City

LAKEWAY

State

Zip

78734

Ever Disciplined

LastModifiedDate

03/12/2025