NICOLETTE LAUREN BIGHAM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****80

License Status

ACTIVE

Business

First Name

NICOLETTE

Middle

LAUREN

Last Name

BIGHAM

Business Name

NICOLETTE LAUREN BIGHAM

Original Issue Date

09/17/2013

Effective Date

02/19/2026

Expiration Date

03/01/2028

City

WATERLOO

State

Zip

62298

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/19/2026