LYDIA GRACE NELSON - Physician Assistant License in Illinois | # 085008914

LYDIA GRACE NELSON

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008914

License Status

NOT RENEWED

Business

N

First Name

LYDIA

Middle

GRACE

Last Name

NELSON

Business Name

LYDIA GRACE NELSON

Original Issue Date

03/05/2022

Effective Date

03/05/2022

Expiration Date

03/01/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2025