NICOLE MARIE NEWHAUSER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004249

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

MARIE

Last Name

NEWHAUSER

Business Name

NICOLE MARIE NEWHAUSER

Original Issue Date

11/22/2011

Effective Date

03/09/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014