NICOLE CHRISTINE SNODGRASS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****10

License Status

ACTIVE

Business

First Name

NICOLE

Middle

CHRISTINE

Last Name

SNODGRASS

Business Name

NICOLE CHRISTINE SNODGRASS

Original Issue Date

12/05/2019

Effective Date

02/16/2026

Expiration Date

03/01/2028

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/16/2026