NICHOLAS GRANDE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009626

License Status

ACTIVE

Business

First Name

NICHOLAS

Last Name

GRANDE

Business Name

NICHOLAS GRANDE

Original Issue Date

04/03/2023

Effective Date

02/20/2024

Expiration Date

03/01/2026

City

ALAMEDA

State

Zip

94501

Ever Disciplined

LastModifiedDate

12/03/2025