NICOLE MARIE WIGTON Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002038

License Status

INACTIVE

Business

First Name

NICOLE

Middle

MARIE

Last Name

WIGTON

Business Name

NICOLE MARIE WIGTON

Original Issue Date

08/04/2003

Effective Date

08/04/2003

Expiration Date

03/01/2006

City

ALPINE

State

Zip

84004

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006