RACHEL NICOLE GAUDREAULT 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

RACHEL

Middle

NICOLE

Last Name

GAUDREAULT

Business Name

RACHEL NICOLE GAUDREAULT

Original Issue Date

01/24/2022

Effective Date

02/14/2026

Expiration Date

03/01/2028

City

MARYVILLE

State

Zip

62062

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/14/2026