TARA COLE NIKODEM - Physician Assistant License in Illinois | # 085004540

TARA COLE NIKODEM

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004540

License Status

ACTIVE

Business

N

First Name

TARA

Middle

COLE

Last Name

NIKODEM

Business Name

TARA COLE NIKODEM

Original Issue Date

10/30/2012

Effective Date

01/20/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

01/20/2026