NATHANIEL JOEL DAVIDSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008591

License Status

ACTIVE

Business

First Name

NATHANIEL

Middle

JOEL

Last Name

DAVIDSON

Business Name

NATHANIEL JOEL DAVIDSON

Original Issue Date

09/03/2021

Effective Date

12/17/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

12/17/2025