OLIVIA NIEPSUJ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****44

License Status

ACTIVE

Business

First Name

OLIVIA

Last Name

NIEPSUJ

Business Name

OLIVIA NIEPSUJ

Original Issue Date

01/24/2022

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

LAKE FOREST

State

Zip

60045

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025