Information as of 08/12/2020

Last Updated by Licensee on 08/23/2019

Jennifer Croutcher Nicolini - MD Full and Unrestricted
License#: 
Issue Date: 
200400722
06/16/2004
License Status: 
Renewal Date:
Active  
08/25/2020  
 Public Action: Yes
 See: Actions-Adverse & Administrative Tab
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 200400722 06/16/2004 
Inactive License
North Carolina Hospital Admitting Privileges
Mission Health System
Mission Hospital
Out of State Active/Inactive Licenses
Arizona
Out of Country Active/Inactive Licenses
New Zealand