NICOLE PATRIARCA FLORA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****86

License Status

ACTIVE

Business

First Name

NICOLE

Middle

PATRIARCA

Last Name

FLORA

Business Name

NICOLE PATRIARCA FLORA

Original Issue Date

10/03/2023

Effective Date

01/08/2026

Expiration Date

03/01/2028

City

LAKE FOREST

State

Zip

60045

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/08/2026