LISA K NIELSEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000333

License Status

ACTIVE

Business

First Name

LISA K

Last Name

NIELSEN

Business Name

LISA K NIELSEN

Original Issue Date

07/25/1987

Effective Date

03/12/2026

Expiration Date

03/01/2028

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

03/12/2026