NICOLE HERNANDEZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007606

License Status

ACTIVE

Business

First Name

NICOLE

Last Name

HERNANDEZ

Business Name

NICOLE HERNANDEZ

Original Issue Date

03/18/2020

Effective Date

01/26/2026

Expiration Date

03/01/2028

City

WEST HOLLYWOOD

State

Zip

90046

Ever Disciplined

LastModifiedDate

01/26/2026