NICOLETTE JULES SMITH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****12

License Status

ACTIVE

Business

First Name

NICOLETTE

Middle

JULES

Last Name

SMITH

Business Name

NICOLETTE JULES SMITH

Original Issue Date

10/12/2023

Effective Date

01/05/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/05/2026