KENNEDY NICOLE MCDONNELL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****34

License Status

ACTIVE

Business

First Name

KENNEDY

Middle

NICOLE

Last Name

MCDONNELL

Business Name

KENNEDY NICOLE MCDONNELL

Original Issue Date

02/08/2023

Effective Date

02/20/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/20/2026