NICOLE N BROWN - Physician Assistant License in Illinois | # 085004526

NICOLE N BROWN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004526

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

N

Last Name

BROWN

Business Name

NICOLE N BROWN

Original Issue Date

10/24/2012

Effective Date

10/24/2012

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

04/08/2014