MATTISON NICOLE PEREZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****83

License Status

ACTIVE

Business

First Name

MATTISON

Middle

NICOLE

Last Name

PEREZ

Business Name

MATTISON NICOLE PEREZ

Original Issue Date

08/25/2015

Effective Date

02/10/2026

Expiration Date

03/01/2028

City

SMITHTON

State

Zip

62285

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/10/2026