NICOLE L PIEDIMONTE Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****10

License Status

INOPERATIVE

Business

First Name

NICOLE

Middle

Last Name

PIEDIMONTE

Business Name

NICOLE L PIEDIMONTE

Original Issue Date

06/11/2014

Effective Date

03/02/2018

Expiration Date

03/01/2020

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

12/18/2019