NICOLE ANN MORTIER - Physician Assistant License in Illinois | # 085005444

NICOLE ANN MORTIER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005444

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016