NICOLE WILKINS Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****76

License Status

INOPERATIVE

Business

First Name

NICOLE

Last Name

WILKINS

Business Name

NICOLE WILKINS

Original Issue Date

08/11/2020

Effective Date

08/11/2020

Expiration Date

03/01/2022

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2022