MARVIN LEON NICE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042314

License Status

NOT RENEWED

Business

First Name

MARVIN LEON

Last Name

NICE

Suffix

Business Name

MARVIN LEON NICE MD

Original Issue Date

01/30/1969

Effective Date

01/30/1969

Expiration Date

07/31/1984

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006