The holder whose full name is Nichols, Alphonso Edward,come from Jeffersonville IN,hold the Physician license(NO.01061506A) which status is Expired Non-Renewable.
| Name | Nichols, Alphonso Edward |
|---|---|
| License Number | 01061506A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Jeffersonville |
| State | IN |