CARLY NYOBINDA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006758

License Status

ACTIVE

Business

First Name

CARLY

Last Name

NYOBINDA

Business Name

CARLY NYOBINDA

Original Issue Date

09/20/2018

Effective Date

12/06/2023

Expiration Date

03/01/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/03/2025