NICHOLAS IAN ELEY - Physician Assistant License in Illinois | # 085004682

NICHOLAS IAN ELEY

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004682

License Status

NOT RENEWED

Business

N

First Name

NICHOLAS

Middle

IAN

Last Name

ELEY

Business Name

NICHOLAS IAN ELEY

Original Issue Date

06/10/2013

Effective Date

02/11/2016

Expiration Date

03/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2018