NICOLE ROMAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****56

License Status

ACTIVE

Business

First Name

NICOLE

Last Name

ROMAN

Business Name

NICOLE ROMAN

Original Issue Date

09/09/2019

Effective Date

02/26/2026

Expiration Date

03/01/2028

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/26/2026