TAYLAR NICOLE FREEMAN 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

TAYLAR

Middle

NICOLE

Last Name

FREEMAN

Business Name

TAYLAR NICOLE FREEMAN

Original Issue Date

07/01/2023

Effective Date

01/05/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/05/2026