NICOLE N BROWN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004526

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

BROWN

Business Name

NICOLE N BROWN

Original Issue Date

10/24/2012

Effective Date

10/24/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014