NICOLAS A VENCI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051815

License Status

NOT RENEWED

Business

First Name

NICOLAS A

Last Name

VENCI

Suffix

Business Name

NICOLAS A VENCI MD

Original Issue Date

08/15/1975

Effective Date

08/15/1975

Expiration Date

07/31/1984

City

GREENDALE

State

Zip

53129

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006