NICHOLAS RAY VON HOLTEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007292

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

RAY

Last Name

VON HOLTEN

Business Name

NICHOLAS RAY VON HOLTEN

Original Issue Date

09/19/2019

Effective Date

01/02/2024

Expiration Date

03/01/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

12/03/2025