SOPHIE ASHLEY NYAMBAL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****13

License Status

ACTIVE

Business

First Name

SOPHIE

Middle

ASHLEY

Last Name

NYAMBAL

Business Name

SOPHIE ASHLEY NYAMBAL

Original Issue Date

04/13/2017

Effective Date

01/02/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60638

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/02/2026