LAURA JANE NISHI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001254

License Status

ACTIVE

Business

First Name

LAURA

Middle

JANE

Last Name

NISHI

Business Name

LAURA JANE NISHI

Original Issue Date

12/22/1999

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025