NICHOLAS MALDONADO - Physician Assistant License in Illinois | # 085009913

NICHOLAS MALDONADO

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009913

License Status

NOT RENEWED

Business

N

First Name

NICHOLAS

Last Name

MALDONADO

Business Name

NICHOLAS MALDONADO

Original Issue Date

08/02/2023

Effective Date

08/02/2023

Expiration Date

03/01/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2025