NIKKI ANNTOINETTE BROWN - Physician Assistant License in Illinois | # 085003141

NIKKI ANNTOINETTE BROWN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003141

License Status

NOT RENEWED

Business

N

First Name

NIKKI

Middle

ANNTOINETTE

Last Name

BROWN

Business Name

NIKKI ANNTOINETTE BROWN

Original Issue Date

11/05/2007

Effective Date

12/14/2007

Expiration Date

03/01/2010

State

IL

Ever Disciplined

N

LastModifiedDate

09/22/2010