NICOLE M DALTON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001647

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

DALTON

Business Name

NICOLE M DALTON

Original Issue Date

10/26/2001

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

CLINTON

State

Zip

61727

County

DE WITT

Ever Disciplined

LastModifiedDate

12/03/2025