NICHOLAS MALDONADO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009913

License Status

NOT RENEWED

Business

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

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

02/05/2025