NICHOLAS W BRIGHAM 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

NICHOLAS

Middle

Last Name

BRIGHAM

Business Name

NICHOLAS W BRIGHAM

Original Issue Date

09/30/2024

Effective Date

02/10/2026

Expiration Date

03/01/2028

City

ALGONQUIN

State

Zip

60102

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/10/2026