NATHANIEL JOEL DAVIDSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****61

License Status

ACTIVE

Business

First Name

NATHANIEL

Middle

JOEL

Last Name

DAVIDSON

Business Name

NATHANIEL JOEL DAVIDSON

Original Issue Date

12/09/2022

Effective Date

12/17/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/17/2025