AMI NICOLE MIKHAIL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****54

License Status

NOT RENEWED

Business

First Name

AMI

Middle

NICOLE

Last Name

MIKHAIL

Business Name

AMI NICOLE MIKHAIL

Original Issue Date

02/07/2005

Effective Date

01/20/2010

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

04/16/2012