NICHOLAS GURGANIOUS - Physician Assistant License in Illinois | # 085007041

NICHOLAS GURGANIOUS

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007041

License Status

NOT RENEWED

Business

N

First Name

NICHOLAS

Last Name

GURGANIOUS

Business Name

NICHOLAS GURGANIOUS

Original Issue Date

04/18/2019

Effective Date

01/21/2020

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022