NICHOLAS LEE WARNECKE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003358

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

LEE

Last Name

WARNECKE

Business Name

NICHOLAS LEE WARNECKE

Original Issue Date

10/14/2008

Effective Date

12/12/2025

Expiration Date

03/01/2028

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

12/12/2025