NICOLE MARIE NEWHAUSER Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****64

License Status

INOPERATIVE

Business

First Name

NICOLE

Middle

MARIE

Last Name

NEWHAUSER

Business Name

NICOLE MARIE NEWHAUSER

Original Issue Date

08/31/2012

Effective Date

08/31/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/29/2013