KRISTINE M NICOLETTO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002307

License Status

ACTIVE

Business

First Name

KRISTINE

Middle

Last Name

NICOLETTO

Business Name

KRISTINE M NICOLETTO

Original Issue Date

08/31/2004

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/04/2025