NICHOLE S SUCKOW Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002146

License Status

ACTIVE

Business

First Name

NICHOLE

Middle

Last Name

SUCKOW

Business Name

NICHOLE S SUCKOW

Original Issue Date

10/22/2003

Effective Date

02/05/2026

Expiration Date

03/01/2028

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

02/05/2026