NICHOLAS CLAY VANCE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****73

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

CLAY

Last Name

VANCE

Business Name

NICHOLAS CLAY VANCE

Original Issue Date

08/04/2016

Effective Date

03/01/2022

Expiration Date

03/01/2024

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025