NICHOLAS PATRICK MCKEOWN PA-C Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****82

License Status

ACTIVE

Business

Title

PA-C

First Name

NICHOLAS

Middle

PATRICK

Last Name

MCKEOWN

Business Name

NICHOLAS PATRICK MCKEOWN PA-C

Original Issue Date

01/29/2020

Effective Date

02/12/2026

Expiration Date

03/01/2028

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/12/2026