NATHANIEL AARON MADSEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007146

License Status

NOT RENEWED

Business

First Name

NATHANIEL

Middle

AARON

Last Name

MADSEN

Business Name

NATHANIEL AARON MADSEN

Original Issue Date

08/01/2019

Effective Date

01/07/2022

Expiration Date

03/01/2024

City

NEW YORK

State

Zip

10001

Ever Disciplined

LastModifiedDate

02/05/2025