NICOLE MARIE MASON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002618

License Status

ACTIVE

Business

First Name

NICOLE

Middle

MARIE

Last Name

MASON

Business Name

NICOLE MARIE MASON

Original Issue Date

10/07/2005

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

OWASSO

State

Zip

74055

Ever Disciplined

LastModifiedDate

12/03/2025