LYNN M NICOLAISEN - Physician Assistant License in North Carolina | # 085003825

LYNN M NICOLAISEN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003825

License Status

NOT RENEWED

Business

N

First Name

LYNN

Middle

M

Last Name

NICOLAISEN

Business Name

LYNN M NICOLAISEN

Original Issue Date

08/12/2010

Effective Date

02/28/2014

Expiration Date

03/01/2016

State

NC

Ever Disciplined

N

LastModifiedDate

04/25/2016