NICOLE VILLANUEVA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****75

License Status

ACTIVE

Business

First Name

NICOLE

Last Name

VILLANUEVA

Business Name

NICOLE VILLANUEVA

Original Issue Date

11/25/2016

Effective Date

01/24/2026

Expiration Date

03/01/2028

City

MCHENRY

State

Zip

60050

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/24/2026