NICOLE DAWN BRUEGGEMANN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007300

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

DAWN

Last Name

BRUEGGEMANN

Business Name

NICOLE DAWN BRUEGGEMANN

Original Issue Date

09/23/2019

Effective Date

02/09/2022

Expiration Date

03/01/2024

City

AFFTON

State

Zip

63123

County

MISSOURI

Ever Disciplined

LastModifiedDate

02/05/2025