NICOLE ANN MORTIER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005444

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

ANN

Last Name

MORTIER

Business Name

NICOLE ANN MORTIER

Original Issue Date

03/11/2015

Effective Date

03/11/2015

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016