W JOHN NICHOLAS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067386

License Status

INACTIVE

Business

First Name

W JOHN

Last Name

NICHOLAS

Suffix

Business Name

W JOHN NICHOLAS MD

Original Issue Date

08/26/1983

Effective Date

08/26/1983

Expiration Date

07/31/1987

City

LANDER

State

Zip

82520

County

WYOMING

Ever Disciplined

LastModifiedDate

09/20/2006