NISHA C DESHPANDE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001551

License Status

ACTIVE

Business

First Name

NISHA C

Last Name

DESHPANDE

Business Name

NISHA C DESHPANDE

Original Issue Date

01/26/2001

Effective Date

12/14/2025

Expiration Date

03/01/2028

City

KENOSHA

State

Zip

53144

Ever Disciplined

LastModifiedDate

12/14/2025