STEPHEN H NICHOLS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040478

License Status

NOT RENEWED

Business

First Name

STEPHEN H

Last Name

NICHOLS

Suffix

Business Name

STEPHEN H NICHOLS MD

Original Issue Date

07/05/1966

Effective Date

07/05/1966

City

SALT LAKE CITY

State

Zip

84109

County

UTAH

Ever Disciplined

LastModifiedDate

09/20/2006