KIMBERLY LAUREN NELCZYK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****84

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

LAUREN

Last Name

NELCZYK

Business Name

KIMBERLY LAUREN NELCZYK

Original Issue Date

03/15/2016

Effective Date

01/28/2026

Expiration Date

03/01/2028

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/28/2026