NICHOLE CHRISTINE RAVE 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

NICHOLE

Middle

CHRISTINE

Last Name

RAVE

Business Name

NICHOLE CHRISTINE RAVE

Original Issue Date

12/21/2022

Effective Date

02/23/2026

Expiration Date

03/01/2028

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/23/2026