NIKKI BORAH TANG Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****38

License Status

ACTIVE

Business

First Name

NIKKI

Middle

BORAH

Last Name

TANG

Business Name

NIKKI BORAH TANG

Original Issue Date

12/21/2016

Effective Date

12/29/2023

Expiration Date

03/01/2026

City

WHEATON

State

Zip

60189

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025