NICHOLAS MIDLASH 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

NICHOLAS

Last Name

MIDLASH

Business Name

NICHOLAS MIDLASH

Original Issue Date

10/29/2024

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025