NICOLE KATHLEEN CAMPBELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005784

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

KATHLEEN

Last Name

CAMPBELL

Business Name

NICOLE KATHLEEN CAMPBELL

Original Issue Date

02/25/2016

Effective Date

02/25/2016

Expiration Date

03/01/2018

City

CANTON

State

Zip

48187

County

MICHIGAN

Ever Disciplined

LastModifiedDate

05/10/2018