NICOLE PETERSON - Physician Assistant License in Indiana | # 085009025

NICOLE PETERSON

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009025

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Last Name

PETERSON

Business Name

NICOLE PETERSON

Original Issue Date

07/13/2022

Effective Date

07/13/2022

Expiration Date

03/01/2024

State

IN

Ever Disciplined

N

LastModifiedDate

02/05/2025