TAYLOR NICOLE ANDERSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007541

License Status

NOT RENEWED

Business

First Name

TAYLOR

Middle

NICOLE

Last Name

ANDERSON

Business Name

TAYLOR NICOLE ANDERSON

Original Issue Date

02/04/2020

Effective Date

02/24/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025