MADISON NICOLE PETERSEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010833

License Status

ACTIVE

Business

First Name

MADISON

Middle

NICOLE

Last Name

PETERSEN

Business Name

MADISON NICOLE PETERSEN

Original Issue Date

09/23/2024

Effective Date

02/19/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

02/19/2026