NICOLE LESLEY GARNER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****36

License Status

ACTIVE

Business

First Name

NICOLE

Middle

LESLEY

Last Name

GARNER

Business Name

NICOLE LESLEY GARNER

Original Issue Date

11/29/2022

Effective Date

02/02/2026

Expiration Date

03/01/2028

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/02/2026