ROBERT STEWART NIELSEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000378

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

STEWART

Last Name

NIELSEN

Business Name

ROBERT STEWART NIELSEN

Original Issue Date

04/21/1989

Effective Date

04/21/1989

Expiration Date

03/01/1996

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006

Case Number

1989005787

Action

Probation

Discipline Start Date

04/21/1989

Discipline End Date

04/21/1994