HAILEY CHRISTINE NOSALIK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****62

License Status

ACTIVE

Business

First Name

HAILEY

Middle

CHRISTINE

Last Name

NOSALIK

Business Name

HAILEY CHRISTINE NOSALIK

Original Issue Date

08/11/2022

Effective Date

01/16/2026

Expiration Date

03/01/2028

City

MARYVILLE

State

Zip

62062

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/16/2026