NIKKI BHARUCHA 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

NIKKI

Last Name

BHARUCHA

Business Name

NIKKI BHARUCHA

Original Issue Date

07/03/2023

Effective Date

01/27/2026

Expiration Date

03/01/2028

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/27/2026