JULIA NELLAMATTOM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****31

License Status

ACTIVE

Business

First Name

JULIA

Last Name

NELLAMATTOM

Business Name

JULIA NELLAMATTOM

Original Issue Date

02/03/2023

Effective Date

02/26/2026

Expiration Date

03/01/2028

City

SKOKIE

State

Zip

60077

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/26/2026