NICHOLE ANNE SZULA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007047

License Status

NOT RENEWED

Business

First Name

NICHOLE

Middle

ANNE

Last Name

SZULA

Business Name

NICHOLE ANNE SZULA

Original Issue Date

04/22/2019

Effective Date

04/22/2019

Expiration Date

03/01/2020

City

WAUKESHA

State

Zip

53189

Ever Disciplined

LastModifiedDate

11/24/2020