License holder summary

Richard Evan Nichols is a Temporary Medical Doctor Permit licensed to practice in Indiana. The address on file for Richard Evan Nichols is Fort Wayne IN 46805. This licensed professional license is not current. The license was granted 06/15/2011 and expired on 09/15/2011.

Indiana

Professional Licensing Agency

Richard Evan Nichols
Temporary Medical Doctor Permit
License number
99047495A
Date granted
06/15/2011
Date expires
09/15/2011
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
Fort Wayne IN 46805
indianalicensing.org
ID 6131281
LAST UPDATED 2024-05-01 09:39:15 UTC

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