KILEY NICOLE MARSAGLIA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****52

License Status

ACTIVE

Business

First Name

KILEY

Middle

NICOLE

Last Name

MARSAGLIA

Business Name

KILEY NICOLE MARSAGLIA

Original Issue Date

03/12/2001

Effective Date

01/20/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/20/2026