Mark Oliver Nichols
ExpiredCalifornia license 29290
License
- Licensed by
- California Physician Assistant Board
- License number
- 29290
- Status
- Expired (Delinquent)
- First issued
- September 10, 1998
- Expired
- June 30, 2001
- License holder
- Mark Oliver Nichols
- Entity type
- Individual
Classifications
- pab/SA Sa Physicians & Surgeons
More from the license record
- License type code
- 9503
Other California licenses under this name
-
CA
ActiveMount Shasta, CAExpires Jun 30, 2027
Contact
2510 Airpark Drive Suite 301
Redding, CA 96001
Redding, CA 96001
Shasta County