NIKKI ANNTOINETTE BROWN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****13

License Status

NOT RENEWED

Business

First Name

NIKKI

Middle

ANNTOINETTE

Last Name

BROWN

Business Name

NIKKI ANNTOINETTE BROWN

Original Issue Date

11/29/2007

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

JOLIET

State

Zip

60436

County

WILL

Ever Disciplined

LastModifiedDate

12/01/2008