AMIKO NIDIA GOMEZ HIDAKA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****40

License Status

ACTIVE

Business

First Name

AMIKO

Middle

NIDIA

Last Name

GOMEZ HIDAKA

Business Name

AMIKO NIDIA GOMEZ HIDAKA

Original Issue Date

09/29/2022

Effective Date

02/26/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60608

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/26/2026