KILA D NSAMENANG Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****19

License Status

ACTIVE

Business

First Name

KILA

Middle

Last Name

NSAMENANG

Business Name

KILA D NSAMENANG

Original Issue Date

12/23/2020

Effective Date

02/24/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60646

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026