NICHOLAS LEE WARNECKE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****70

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

LEE

Last Name

WARNECKE

Business Name

NICHOLAS LEE WARNECKE

Original Issue Date

11/20/2008

Effective Date

12/12/2025

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61606

County

PEORIA

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

12/12/2025