NICOLE MARIE BAUKNECHT - Physician Assistant License in Illinois | # 085004867

NICOLE MARIE BAUKNECHT

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004867

License Status

ACTIVE

Business

N

First Name

NICOLE

Middle

MARIE

Last Name

BAUKNECHT

Business Name

NICOLE MARIE BAUKNECHT

Original Issue Date

10/11/2013

Effective Date

01/09/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

01/09/2026