JESSICA LENORE NUSSBAUM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****30

License Status

ACTIVE

Business

First Name

JESSICA

Middle

LENORE

Last Name

NUSSBAUM

Business Name

JESSICA LENORE NUSSBAUM

Original Issue Date

09/14/2023

Effective Date

02/24/2026

Expiration Date

03/01/2028

City

MARYVILLE

State

Zip

62062

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026