NICOLE M DALTON - Physician Assistant License in Illinois | # 085001647

NICOLE M DALTON

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001647

License Status

ACTIVE

Business

N

First Name

NICOLE

Middle

M

Last Name

DALTON

Business Name

NICOLE M DALTON

Original Issue Date

10/26/2001

Effective Date

12/03/2025

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

12/03/2025