TREY MICHAEL NYGREN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****60

License Status

ACTIVE

Business

First Name

TREY

Middle

MICHAEL

Last Name

NYGREN

Business Name

TREY MICHAEL NYGREN

Original Issue Date

11/15/2021

Effective Date

03/02/2024

Expiration Date

03/01/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025