NICHOLAS R IDLE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004157

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

Last Name

IDLE

Business Name

NICHOLAS R IDLE

Original Issue Date

09/26/2011

Effective Date

01/01/2026

Expiration Date

03/01/2028

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/01/2026