License holder summary

NICHOLAS EARNEST POULOS is a Medical Residency Permit licensed to practice in Indiana. The address on file for NICHOLAS EARNEST POULOS is NEWPORT BEACH CA 92660. This licensed professional license is not current. The license was granted 01/04/1996 and expired on 06/30/1996.

Indiana

Professional Licensing Agency

NICHOLAS EARNEST POULOS
Medical Residency Permit
License number
11007698A
Date granted
01/04/1996
Date expires
06/30/1996
Class
Medical Residency Permit
Status
Expired
Address
NEWPORT BEACH CA 92660
indianalicensing.org
ID 5992543
LAST UPDATED 2024-04-23 11:04:06 UTC

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