NICOLE LECLAIRE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003782

License Status

NOT RENEWED

Business

First Name

NICOLE

Last Name

LECLAIRE

Business Name

NICOLE LECLAIRE

Original Issue Date

07/02/2010

Effective Date

02/26/2014

Expiration Date

03/01/2016

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016