NICOLE E BROWN 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

NICOLE

Middle

Last Name

BROWN

Business Name

NICOLE E BROWN

Original Issue Date

07/31/2014

Effective Date

01/27/2024

Expiration Date

03/01/2026

City

BENTON

State

Zip

62812

County

FRANKLIN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025