KRISTIN E NIMBLEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****72

License Status

ACTIVE

Business

First Name

KRISTIN

Middle

Last Name

NIMBLEY

Business Name

KRISTIN E NIMBLEY

Original Issue Date

11/29/2006

Effective Date

12/05/2025

Expiration Date

03/01/2028

City

DEER PARK

State

Zip

60010

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/05/2025