NICOLE DIDIER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002992

License Status

NOT RENEWED

Business

First Name

NICOLE

Last Name

DIDIER

Business Name

NICOLE DIDIER

Original Issue Date

07/06/2007

Effective Date

07/06/2007

Expiration Date

03/01/2008

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

04/23/2008