NAZREENBANU JOLLY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****22

License Status

ACTIVE

Business

First Name

NAZREENBANU

Last Name

JOLLY

Business Name

NAZREENBANU JOLLY

Original Issue Date

02/24/2025

Effective Date

02/24/2025

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60659

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

12/03/2025