NICHOLA K YEOMANS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****29

License Status

NOT RENEWED

Business

First Name

NICHOLA

Middle

Last Name

YEOMANS

Business Name

NICHOLA K YEOMANS

Original Issue Date

08/16/2004

Effective Date

08/16/2004

Expiration Date

03/01/2008

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

02/05/2009