License holder summary

MARYAM NICKSOLAT is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for MARYAM NICKSOLAT is Mc Lean VA 22102. This licensed professional license is not current. The license was granted 03/29/2012 and expired on 12/31/2014.

Pennsylvania

Department of State

MARYAM NICKSOLAT
Medical Physician Assistant
License number
MA055464
Date granted
03/29/2012
Date expires
12/31/2014
Class
Medical Physician Assistant
Status
Expired
Address
Mc Lean VA 22102
palicensing.org
ID 37695432
LAST UPDATED 2024-03-30 18:04:16 UTC

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