CARLY NYOBINDA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****17

License Status

ACTIVE

Business

First Name

CARLY

Last Name

NYOBINDA

Business Name

CARLY NYOBINDA

Original Issue Date

10/26/2018

Effective Date

12/06/2023

Expiration Date

03/01/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025