Lavonne Rae Nickel

Medical - Physician

Colorado  27490   Inactive

This Colorado license was held by Lavonne Rae Nickel. The license is no longer active. It was granted on 05/09/1986 and expired on 04/30/2015

LICENSE DETAILS

  • License Number: 27490
  • Category: Physician
  • Status: Inactive
  • Date Granted: 05/09/1986 (almost 38 years ago)
  • Expiry Date: 04/30/2015 (about 9 years ago)

LOCATIONS

A Address

16441 Mccourtney Rd., Grass Valley, CA, 95949-5949