NICOLE MAXINE PEREZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011585

License Status

ACTIVE

Business

First Name

NICOLE

Middle

MAXINE

Last Name

PEREZ

Business Name

NICOLE MAXINE PEREZ

Original Issue Date

08/18/2025

Effective Date

08/18/2025

Expiration Date

03/01/2026

City

EDGEWOOD

State

Zip

41017

Ever Disciplined

LastModifiedDate

12/03/2025