JAMES E NANNEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****06

License Status

ACTIVE

Business

First Name

JAMES

Middle

Last Name

NANNEY

Business Name

JAMES E NANNEY

Original Issue Date

06/03/2004

Effective Date

12/11/2025

Expiration Date

03/01/2028

City

BUNKER HILL

State

Zip

62014

County

MACOUPIN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/11/2025