NIKKI BORAH TANG Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006035

License Status

ACTIVE

Business

First Name

NIKKI

Middle

BORAH

Last Name

TANG

Business Name

NIKKI BORAH TANG

Original Issue Date

10/06/2016

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

LISLE

State

Zip

60532

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/03/2025