NICOLE ELIZABETH YAMAGIWA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****43

License Status

ACTIVE

Business

First Name

NICOLE

Middle

ELIZABETH

Last Name

YAMAGIWA

Business Name

NICOLE ELIZABETH YAMAGIWA

Original Issue Date

03/09/2009

Effective Date

03/13/2026

Expiration Date

03/01/2028

City

SKOKIE

State

Zip

60077

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/13/2026