NICK NICOLAEV NICOLOFF Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001703

License Status

NOT RENEWED

Business

First Name

NICK

Middle

NICOLAEV

Last Name

NICOLOFF

Business Name

NICK NICOLAEV NICOLOFF

Original Issue Date

11/19/2001

Effective Date

03/06/2014

Expiration Date

03/01/2016

City

HASTINGS ON HUDSON

State

Zip

10706

Ever Disciplined

LastModifiedDate

02/09/2018