LISA K NIELSEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****42

License Status

ACTIVE

Business

First Name

LISA K

Last Name

NIELSEN

Business Name

LISA K NIELSEN

Original Issue Date

01/17/2002

Effective Date

02/07/2024

Expiration Date

03/01/2026

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025