LYNN M NICOLAISEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003825

License Status

NOT RENEWED

Business

First Name

LYNN

Middle

Last Name

NICOLAISEN

Business Name

LYNN M NICOLAISEN

Original Issue Date

08/12/2010

Effective Date

02/28/2014

Expiration Date

03/01/2016

City

RALEIGH

State

Zip

27613

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

04/25/2016