NICOLE LYNN HARMON 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

LYNN

Last Name

HARMON

Business Name

NICOLE LYNN HARMON

Original Issue Date

01/09/2025

Effective Date

02/03/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61615

County

PEORIA

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/03/2026