NICOLE LECLAIRE Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****75

License Status

INOPERATIVE

Business

First Name

NICOLE

Last Name

LECLAIRE

Business Name

NICOLE LECLAIRE

Original Issue Date

07/28/2010

Effective Date

02/26/2014

Expiration Date

03/01/2016

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

09/24/2015