Nick Blase Ziomek

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085002218

Status

Expired (Not Renewed)

First issued

March 4, 2004

Expired

March 1, 2008

License holder

Nick Blase Ziomek

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

03/04/2004

Other Illinois licenses under this name

• IL
  Nick Blase Ziomek

  License 38*****30

  Physician Assistant Controlled Substance
  Expired

  Rockford, IL

  Expired Mar 1, 2008

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