BRENDA JEAN NICHOLS - Physician Assistant License in Illinois | # 085002520

BRENDA JEAN NICHOLS

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002520

License Status

NOT RENEWED

Business

N

First Name

BRENDA

Middle

JEAN

Last Name

NICHOLS

Business Name

BRENDA JEAN NICHOLS

Original Issue Date

08/04/2005

Effective Date

08/04/2005

Expiration Date

03/01/2008

State

IL

Ever Disciplined

N

LastModifiedDate

04/23/2008