NINA RENAE KODROS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007517

License Status

ACTIVE

Business

First Name

NINA

Middle

RENAE

Last Name

KODROS

Business Name

NINA RENAE KODROS

Original Issue Date

01/22/2020

Effective Date

01/06/2026

Expiration Date

03/01/2028

City

JOLIET

State

Zip

60435

Ever Disciplined

LastModifiedDate

01/29/2026