License Directory

Brian Walrath Nicholas

Active

California license A130475

License

Licensed by
Medical Board of California
License number
A130475
Status
Active (Current)
First issued
May 16, 2014
Expires
May 31, 2028
License holder
Brian Walrath Nicholas
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

19 Warwick Ave
Douglaston, NY 11363-1035
Queens County