TAYLOR NIKOLE AGATE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****32

License Status

ACTIVE

Business

First Name

TAYLOR

Middle

NIKOLE

Last Name

AGATE

Business Name

TAYLOR NIKOLE AGATE

Original Issue Date

08/11/2023

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025