NICHOLAS TYLER WALSH - Physician Assistant License in Illinois | # 085007156

NICHOLAS TYLER WALSH

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007156

License Status

NOT RENEWED

Business

N

First Name

NICHOLAS

Middle

TYLER

Last Name

WALSH

Business Name

NICHOLAS TYLER WALSH

Original Issue Date

08/09/2019

Effective Date

12/24/2019

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022