NATHAN SCOTT LYCAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085012149

License Status

ACTIVE

Business

First Name

NATHAN

Middle

SCOTT

Last Name

LYCAN

Business Name

NATHAN SCOTT LYCAN

Original Issue Date

03/07/2026

Effective Date

03/07/2026

Expiration Date

03/01/2028

City

NEW YORK

State

Zip

10013

Ever Disciplined

LastModifiedDate

03/07/2026