NICHOLAS R WALTERS - Physician Assistant License in Illinois | # 085004177

NICHOLAS R WALTERS

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004177

License Status

ACTIVE

Business

N

First Name

NICHOLAS

Middle

R

Last Name

WALTERS

Business Name

NICHOLAS R WALTERS

Original Issue Date

10/03/2011

Effective Date

01/09/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

01/09/2026