NICOLE RENAE LAWSON Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005263

License Status

INACTIVE

Business

First Name

NICOLE

Middle

RENAE

Last Name

LAWSON

Business Name

NICOLE RENAE LAWSON

Original Issue Date

09/25/2014

Effective Date

03/01/2018

Expiration Date

03/01/2020

City

PLAINFIELD

State

Zip

46168

County

INDIANA

Ever Disciplined

LastModifiedDate

12/18/2019