RICHARD GORDON NELLIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****55

License Status

ACTIVE

Business

First Name

RICHARD

Middle

GORDON

Last Name

NELLIS

Business Name

RICHARD GORDON NELLIS

Original Issue Date

07/29/2025

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

MCHENRY

State

Zip

60050

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025