NIKOLAS SANDQUIST WILDE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010340

License Status

ACTIVE

Business

First Name

NIKOLAS

Middle

SANDQUIST

Last Name

WILDE

Business Name

NIKOLAS SANDQUIST WILDE

Original Issue Date

02/03/2024

Effective Date

01/04/2026

Expiration Date

03/01/2028

City

BOSTON

State

Zip

02125

Ever Disciplined

LastModifiedDate

01/04/2026