TARA COLE NIKODEM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004540

License Status

ACTIVE

Business

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

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/20/2026