REBECCA F NISHIMOTO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****28

License Status

ACTIVE

Business

First Name

REBECCA

Middle

Last Name

NISHIMOTO

Business Name

REBECCA F NISHIMOTO

Original Issue Date

01/05/2004

Effective Date

01/23/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60645

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/23/2026