NICHOLAS M CANNATARO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004609

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

Last Name

CANNATARO

Prefix

Business Name

NICHOLAS M CANNATARO

Original Issue Date

02/01/2013

Effective Date

03/04/2026

Expiration Date

03/01/2028

City

BARTLETT

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

03/04/2026