NICOLE LEANN WOLKEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009969

License Status

ACTIVE

Business

First Name

NICOLE

Middle

LEANN

Last Name

WOLKEN

Business Name

NICOLE LEANN WOLKEN

Original Issue Date

08/15/2023

Effective Date

02/11/2026

Expiration Date

03/01/2028

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/11/2026