NICOLE RENAE LAWSON - Physician Assistant License in Indiana | # 085005263

NICOLE RENAE LAWSON

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005263

License Status

INACTIVE

Business

N

First Name

NICOLE

Middle

RENAE

Last Name

LAWSON

Business Name

NICOLE RENAE LAWSON

Original Issue Date

09/25/2014

Effective Date

03/01/2018

Expiration Date

03/01/2020

State

IN

Ever Disciplined

N

LastModifiedDate

12/18/2019