MICHAEL NUGUID DE VENECIA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009622

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

NUGUID

Last Name

DE VENECIA

Business Name

MICHAEL NUGUID DE VENECIA

Original Issue Date

04/01/2023

Effective Date

02/24/2026

Expiration Date

03/01/2028

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/24/2026