ERVIN E NICHOLS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043224

License Status

INACTIVE

Business

First Name

ERVIN E

Last Name

NICHOLS

Suffix

Business Name

ERVIN E NICHOLS MD

Original Issue Date

03/06/1970

Effective Date

03/06/1970

Expiration Date

07/31/1987

City

PORT TOWNSEND

State

Zip

98368

County

WASHINGTON

Ever Disciplined

LastModifiedDate

09/20/2006