NICOLE JENETTE GOLAK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****76

License Status

ACTIVE

Business

First Name

NICOLE

Middle

JENETTE

Last Name

GOLAK

Business Name

NICOLE JENETTE GOLAK

Original Issue Date

02/10/2017

Effective Date

01/15/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/15/2026