NICHOLAS C WIEGAND Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085012117

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

Last Name

WIEGAND

Business Name

NICHOLAS C WIEGAND

Original Issue Date

02/20/2026

Effective Date

02/20/2026

Expiration Date

03/01/2028

City

DAVENPORT

State

Zip

52806

Ever Disciplined

LastModifiedDate

02/11/2026